Both health insurance plan payors and healthcare providers have much at stake in the next round of contracting negotiations.
For healthcare providers, managed care contracts are one of the most important drivers of a healthcare organization’s financial reimbursement, cash flow and profitability.
Developing strategic contracting language can dramatically improve providers’ revenue stream. But failing to clarify certain payment terms could also lead to long-term financial problems.
Payors have much at stake in today’s challenging economic environment.
It is even more important to know the latest strategies to effectively negotiate managed care contracts to maximize revenue in today’s global turmoil.
There are new legal, contractual, and financial risks in today’s managed care environment that must be taken into consideration during the negotiation process. Discover how to recognize contract issues before they become compliance problems!
Join The Managed Care Information Center and three experts in managed
care
contracting for “Managed Care Payor-Provider Contracting: New
Directions, Risks
and Strategies” a special 90-minute audio webcast that took place in May 2009.
- New directions in managed care
contracting
- Overview of the changes in
contracting activity
- Newest trends in contracting
- The payor-provider negotiation
climate
- Techniques to set up quality
incentives
- How the stimulus plan affects
contracting
- How to increase reimbursement
- Introduction of the newest breed
of MC provider plans
- New methods Medicare advantage
plans are using to remain competitive
- How to find quality providers
- Payor contract evaluation and
management methods
- Conducting contract discussions
involving pay-for-performance and quality-based reimbursement programs
- Understanding the challenges in
enhancing contract performance
- The ‘fine’
print negotiating the “No’s” in managed
care agreements
- Reimbursement and contract
issues in negotiations
- The importance of contractual
provisions
*Risk shifting
*Authorizations
*Claims denials - Question and Answer
Who Will Benefit From This Audio Webcast?
Hospitals, health systems, managed care organizations, physician organizations, home health agencies, healthcare providers, disease management companies with titles:
CEOs, CFOs, vice
president of finance,
director of managed care, VP payor relations, director of
payor
contracting, hospital managers, medical directors, healthcare
management, TPAs,
network managers, physician practice management company executives,
medical
management directors, PHO and IPA leadership, financial analysts,
implementer
consultants, account services and administration
executives, billing and
accounting, controllers, patient financial services.
©2009 Health Resources Publishing



