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Legal considerations in managed care contracting.
Top Health Care Financ. 1993 Winter; 20(2):17-25.TH

Abstract

Managed health care systems are created primarily through contracting. Although contracts with managed care organizations, such as health maintenance organizations, are often presented to providers as non-negotiable, this chapter discusses basic contract terms that are frequently negotiated by the parties, including key contract definitions, compensation, term and termination, and "boilerplate" provisions. The chapter also emphasizes the need for contracting parties to conduct precontracting due diligence and to comply with applicable antitrust laws in negotiating contracts with groups of independent providers.

Authors+Show Affiliations

Miller WJ
Weissburg and Aronson Inc., Los Angeles.

MeSH

Contract ServicesHumansManaged Care ProgramsQuality Assurance, Health CareUnited StatesUtilization Review

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8310430

Citation

Miller, W J.. "Legal Considerations in Managed Care Contracting." Topics in Health Care Financing, vol. 20, no. 2, 1993, pp. 17-25.
Miller WJ. Legal considerations in managed care contracting. Top Health Care Financ. 1993;20(2):17-25.
Miller, W. J. (1993). Legal considerations in managed care contracting. Topics in Health Care Financing, 20(2), 17-25.
Miller WJ. Legal Considerations in Managed Care Contracting. Top Health Care Financ. 1993;20(2):17-25. PubMed PMID: 8310430.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Legal considerations in managed care contracting. A1 - Miller,W J, PY - 1993/1/1/pubmed PY - 1993/1/1/medline PY - 1993/1/1/entrez SP - 17 EP - 25 JF - Topics in health care financing JO - Top Health Care Financ VL - 20 IS - 2 N2 - Managed health care systems are created primarily through contracting. Although contracts with managed care organizations, such as health maintenance organizations, are often presented to providers as non-negotiable, this chapter discusses basic contract terms that are frequently negotiated by the parties, including key contract definitions, compensation, term and termination, and "boilerplate" provisions. The chapter also emphasizes the need for contracting parties to conduct precontracting due diligence and to comply with applicable antitrust laws in negotiating contracts with groups of independent providers. SN - 0095-3814 UR - https://www.unboundmedicine.com/medline/citation/8310430/Legal_considerations_in_managed_care_contracting_ L2 - https://medlineplus.gov/managedcare.html DB - PRIME DP - Unbound Medicine ER -