Managing Managed Care Contracts — Six Tips for Optimizing ...

Here are six tactics to help you discuss contracts with managed care organizations and live with the results.

6 Practices for Effective Managed Care Contracting

Key Practices for Effective Contracts · Assess the organization's ability to meet contract requirements. · Identify the terms proposed by the ...

6 Tips for Optimizing High Volumes of Low-Value Contracts - Calero

Let's explore actionable strategies to help you manage your high-volume, low-value contracts while leveraging the benefits of managed services ...

Best Practices for Contract Management: 9 Tips for Healthcare RCM ...

which payers are underpaying us · which CPT codes trigger underpayments from which payers and by how much · each contract's impact on revenue ...

Optimizing Your Health System's Future Revenue Stream - PYA

This article identifies challenges faced through the managed care contracting process and shares how PYA assists clients in meeting those ...

Payer Contracting Checklist: 10 action items to optimize your ...

... Guide to Next Generation Managed Care Contracting, published in October 2016. ... Healthcare Project Management Toolkit. 2/9/2024. Generic profile image. MGMA ...

6 Practices for Effective Managed Care Contracting - Kaufman Hall

6 Practices for Effective Managed Care Contracting · Ability of the organization to meet contract requirements · Terms proposed by the health plan ...

Guide to Navigating Managed Care Contract Renegotiation

By proactively managing the implementation process and providing necessary support and resources, healthcare organizations can optimize the ...

Essential Tips for Optimizing Value-Based Care in Managed Care

It focuses on patient outcomes and ties payments to the quality of care, promoting a patient-centric approach. Related Content ...

5 Managed Care Contract Tips for Optimizing Reimbursement

But away from the bargaining table, providers should take note of important contract management and administration considerations that can help add leverage to ...

What are the best strategies for negotiating managed care contracts?

Managed care contracts are agreements between healthcare providers and payers that define the terms and conditions of delivering and ...

A Plan and Guideline for Managed Care Contracting Negotiations

STEP 1: ASSESS THE SITUATION · Assess each payer's financial performance. · Identify any changes or trends by payer (e.g., premium increases, ...

The Impact of Managed Care Contracting on Physicians - PMC

Simplifications that reduce the administrative burden of contracting may improve care by optimizing allocation of physician effort. KEY WORDS: managed care ...

How to Approach Managed Care Contract Negotiations?

An efficient contract management system will not help your healthcare organization realize cost savings if the managed care contracts put into it are not ...

10 Pitfalls to Avoid in MCC Negotiations - DoctorsManagement

Understanding the language in managed care contracts – even those already in place – can help you determine if certain benefits are worth the ...

Contract management in healthcare: A complete guide - Oneflow

By effectively managing contracts with healthcare providers, organizations can ensure that patients have access to high-quality services. This ...

Managed Care Contract Checklist - PayrHealth

Value-based contracting demands a unified, comprehensive approach to contract management. That simply isn't always possible for providers, many of whom are ...

FINDINGS AND RECOMMENDATIONS - Managing Managed Care

2.1 Public and private purchasers, consumers, providers, practitioners, behavioral health care plans, and accreditation organizations should continue to monitor ...

How providers can optimize payer contract negotiations | HFMA

6 steps for establishing a strong negotiating position ... The following steps can help ensure a provider's contract negotiating team will achieve ...

Leveraging Technology for Effective Contract Management

Date and Obligation Management: Managed care contracting often involves tight submission deadlines for claims, and missing those dates could ...