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 your revenue stream. But failing to clarify certain payment terms could also lead to long-term financial problems.
With the advent of healthcare consumerism, pay-for-performance and increasing payer consolidation, today it is even more important to know the latest strategies to effectively negotiate managed care contracts to maximize revenue.
There are new legal, contractual, and financial risks in today’s managed care environment that must be taken into consideration during the negotiation process. Learn to recognize contract issues before they become compliance problems! Solve key business challenges, such as out-of-network, silent PPOs, and antitrust issues before they happen.
How do you negotiate from a position of strength in today’s managed care environment? Can payors and providers find room to reach agreement? And how can providers avoid leaving money on the table?
Join The Managed Care Information Center and and three experts in managed care negotiations for “Payor-Provider Managed Care Contract Negotiations: Current Strategies and Best Practices to Maximize Reimbursement,” a special 90-minute audio conference that took place in December 2007.
Order Today!Agenda
- Today's trends in contracting
- The payor-provider negotiation climate
- Overview of managed care contracting issues today
- Payor contract evaluation and mangement methods
- Negotiating in the face of HMOs' ever increasing market power
- Conducting contract discussions involving pay-for-performance and quality-based reimbursement programs
- Techniques to evaluate key contract provisions
- The challenges in enhancing contract performance
- Negotiating the “No’s” in managed care agreements
- Reimbursement and contract issues in negotiations
- Review of recent enforcement actions and key court cases
- The effect of consumerism and transparency on contract terms
- The importance of contractual provisions
- Risk shifting
- Authorizations
- Claims denials
- Tools and techniques to employ in the health plan negotiation process
- How to level the playing field in managed care contract negotiations
- How to use hard data to negotiate your way to better contracts
- How to develop a creative strategy for gaining leverage during the negotiations
- The top 10 “deal breakers”
- The top 10 “must haves” in your contract
- Question and answer session
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.
Order Today!©2007 Health Resources Publishing