Managed Care Contracting: A Practical Guide for Health Care Executives

William A. Garofalo; Eve T. Horwitz; Thomas M. Reardon

ISBN 10: 0787945811 / ISBN 13: 9780787945817

Published by Jossey-Bass, 1999

About this Item

May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

Seller Inventory # G0787945811I4N00

Bibliographic Details

• Title: Managed Care Contracting: A Practical Guide for Health Care Executives
• Publisher: Jossey-Bass
• Publication Date: 1999
• Language: English
• ISBN 10: 0787945811
• ISBN 13: 9780787945817
• Binding: Hardcover
• Condition: Very Good
• Dust Jacket Condition: No Jacket
• Weight: 0.85 pounds

About this title

Synopsis

Today's heath care marketplace is highly competitive, requiring managed care providers to contract with dozens of insurers to survive. Each of these contracts comes with their its unique terms and conditions-making the contracting process overwhelmingly complex and giving many health care executives major headaches.

Written by three of the country's leading health care consultants and attorneys, Managed Care Contracting is the first book to offer executives with no legal background practical, step-by-step advice on how to create winning contracts between health care organizations, payers, and employers. In straightforward language, free of legalese and jargon, this much-needed resource demystifies managed care contracting and prescribes some critical advice for hospital and physician group practice executives.

The authors present helpful guidelines for evaluating the various types of managed care contracts and explain the most significant terms and concepts executives are likely to encounter.

• A treasure trove of information for health care executives no matter what their experience level, Managed Care Contracting
• Examines how to develop a contracting strategy
• Reviews the fundamentals of negotiating the contract
• Frames the key steps in the contracting process
• Provides a managed care contract negotiations checklist
• Dissects sample hospital and physician contracts
• Analyzes the contract risk factors by the type of payment
• explores the implications of changing financial incentives
• Outlines the most up-to-date information in the regulatory environment
• Includes illustrative examples and helpful tables and chartsFor health care executives who are just beginning the complex contracting process and for the more experienced who require the most current information on the topic, Managed Care Contracting</> provides the knowledge and tools they need to succeed.

  "Managed Care Contracting is a very timely

About the Author

WILLIAM A. GAROFALO is vice president of Health Care Services with ML Strategies. He is the former leader of health care consulting for KPMG Peat Marwick's New England region and has worked nationally on a variety of managed care projects. EVE T. HOROWITZ is of counsel with the Health Services Group of the Mintz, Levin, Cohn, Ferris, Glovsky, and Popeo, P.C law firm. She routinely advises physicians on managed care issues as a member of the American Medical Association's Doctors' Advisory Network™. THOMAS M. REARDON is co-chair of the Health Services Group of the law firm Mintz, Levin, Cohn, Ferris, Glovsky, and Popeo, P.C. He is a member of the board of directors of Harvard Medical Center and CRICO (professional liability insurer for Harvard affiliated teaching hospitals).