HMO contracting: know your costs.

Abstract

HMO contracting requires a detailed knowledge of patient costs. We addressed the need for sophisticated cost accounting and patient information systems as it pertains to HMO contracting. Agencies cannot afford to overlook the global applications of such systems. The ability of an agency to make informed and competitive financial decisions in any price-based payment environment is critical. A system that can accurately identify and assist with forecasting costs will be a valuable asset for an agency as it moves toward the price-based payment environment of the future.