Research Catalog

Title

Managed care contracting : concepts and applications for the health care executive / Doug Conrad ... [et al.].

Publication

Chicago, Ill. : American College of Healthcare Executives, 1996.

Items in the Library & Off-site

Details

Additional Authors

Conrad, Douglas A., 1948-

Description

vi, 146 p. : ill.; 23 cm.

Summary

• Managed care contracting has become a core business function in healthcare. For hospitals, physician groups, and health plans, the ability to create win-win managed care relationships is a prerequisite for long-term success.
• However, successful managed care contracting is a daunting challenge, requiring a range of skills from creating an organizational vision and strategy to pricing specific services. Managed Care Contracting provides all the necessary tools to meet the challenge of managed care contracting.
• It prepares readers to assess the internal and external environments pertaining to managed care, formulate a managed care contracting strategy, price services for managed care, understand and accept capitation, prepare for contract negotiations, develop structures for effective managed care contracting, and administer managed care contracts.

Series Statement

Management series

Uniform Title

Management series (Ann Arbor, Mich.)

Subjects

• Health Services
• Medical care > Contracting out > United States
• Letting of contracts > United States
• United States
• Managed Care Programs
• Managed care plans (Medical care) > United States

Bibliography (note)

• Includes bibliographical references and index.

Contents

1. Introduction -- 2. The External and Internal Environment for Managed Care Contracting -- 3. Developing a Strategy for Managed Care Contracting -- 4. Pricing in Managed Care Contracts -- 5. Taking the Step toward Capitation Payment in Managed Care Contracts -- 6. Preparing for Contract Negotiations -- 7. Developing Structures for Effective Managed Care Contracting -- 8. Contract Administration -- 9. Looking toward the Future -- Appendix 1: Detailed Plan Analysis -- Appendix 2: Contract Terms to Review Prior to Negotiations -- Appendix 3: Sample Contract Agreement -- Appendix 4: Sample Contract Agreement: Services -- Appendix 5: Sample Contract Agreement: Compensation and Billing.

ISBN

1567930425

LCCN

96003242

OCLC

• 501484018
• ocn501484018
• SCSB-4780794

Owning Institutions

Columbia University Libraries