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PubMed · 15162753

3 steps to profitable managed care contracts.

David B Wilson·Michael Malloy·Jim McCoy·Melody Turner
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Abstract

An effective managed care contract negotiation strategy should be founded on: Internal analysis that compares performance of your current managed care contracts in terms of volume versus discount rates and volume versus profit. External analysis that compares your current contracts with those of competitors and assesses prevailing market rates, contract language and provisions, and premium trends Payment performance analysis that identifies payment promptness and accuracy and associated penalty dollars for each payer.

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ContractsFees and ChargesGuidelines as TopicIncomeManaged Care ProgramsPractice Management, MedicalUnited StatesJournal Article

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David B Wilson, Michael Malloy, Jim McCoy, Melody Turner. 2004. 3 steps to profitable managed care contracts.. https://pubmed.ncbi.nlm.nih.gov/15162753/

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