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Conducting a managed care contract review.
Healthc Financ Manage. 1998 Jan; 52(1):40-1.HF

Abstract

Healthcare providers traditionally focus on price when negotiating managed care contracts, but other important contract terms can affect the degree of legal, strategic, and financial risk a provider bears. In addition to having a review of all contracts by legal counsel, providers should conduct a separate business review of the contract terms, from making sure terminology and references are clearly defined or explained to assessing the details of the dispute resolution procedures. Providers should fully understand--and possibly refuse--requirements that could result in additional costs.

Authors+Show Affiliations

Miller TR
Jennings Ryan & Kolb, Atlanta, GA, USA.
Belt JE
No affiliation info available

MeSH

Contract ServicesDecision Making, OrganizationalFinancial Management, HospitalHumansLiability, LegalManaged Care ProgramsNegotiatingRisk ManagementUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10175105

Citation

Miller, T R., and J E. Belt. "Conducting a Managed Care Contract Review." Healthcare Financial Management : Journal of the Healthcare Financial Management Association, vol. 52, no. 1, 1998, pp. 40-1.
Miller TR, Belt JE. Conducting a managed care contract review. Healthc Financ Manage. 1998;52(1):40-1.
Miller, T. R., & Belt, J. E. (1998). Conducting a managed care contract review. Healthcare Financial Management : Journal of the Healthcare Financial Management Association, 52(1), 40-1.
Miller TR, Belt JE. Conducting a Managed Care Contract Review. Healthc Financ Manage. 1998;52(1):40-1. PubMed PMID: 10175105.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Conducting a managed care contract review. AU - Miller,T R, AU - Belt,J E, PY - 1997/12/8/pubmed PY - 1997/12/8/medline PY - 1997/12/8/entrez SP - 40 EP - 1 JF - Healthcare financial management : journal of the Healthcare Financial Management Association JO - Healthc Financ Manage VL - 52 IS - 1 N2 - Healthcare providers traditionally focus on price when negotiating managed care contracts, but other important contract terms can affect the degree of legal, strategic, and financial risk a provider bears. In addition to having a review of all contracts by legal counsel, providers should conduct a separate business review of the contract terms, from making sure terminology and references are clearly defined or explained to assessing the details of the dispute resolution procedures. Providers should fully understand--and possibly refuse--requirements that could result in additional costs. SN - 0735-0732 UR - https://www.unboundmedicine.com/medline/citation/10175105/Conducting_a_managed_care_contract_review_ L2 - https://medlineplus.gov/managedcare.html DB - PRIME DP - Unbound Medicine ER -