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Download The Managed Care Contracting Handbook: Planning & Negotiating the Managed Care Relationship eBook

by Maria K. Todd

Download The Managed Care Contracting Handbook: Planning & Negotiating the Managed Care Relationship eBook
ISBN:
1563273691
Author:
Maria K. Todd
Category:
Medicine & Health Sciences
Language:
English
Publisher:
Productivity Press; 2 edition (March 26, 2009)
Pages:
300 pages
EPUB book:
1535 kb
FB2 book:
1770 kb
DJVU:
1525 kb
Other formats
txt lit azw lrf
Rating:
4.6
Votes:
324


Maria's managed care handbook has been very helpful. I've trained my staff using this book as a master guide

Maria's managed care handbook has been very helpful. I've trained my staff using this book as a master guide. It's a good foundational reference guide to have especially for those on the provider's side who are looking to get the basics of managed care all in one book. This book is also equipped with tools and checklists one can use to augment a variety of managed care contract negotiations.

Written by Maria K. Todd, a seasoned professional in managed care contracting, this handbook is written for managers, analysts, and finance officers who have the daunting task of negotiating contracts for medical services. It offers an in-depth examination of managed care and its organizations and covers key areas, such as pay-for-performance initiatives, reimbursement methods, contract law basics, and negotiating strategies.

Managed care contracting is a process that frustrates even the best administrators. Negotiate contracts that won’t leave you open to unanticipated expenses

Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. Negotiate contracts that won’t leave you open to unanticipated expenses. Written by Maria K. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover. and when to ask a lawyer.

Exactly what do you think of our concept below?

The Managed Care Contracting Handbook : Planning and Negotiating the Managed Care Relationship. Managed care contracting is a process that frustrates even the best administrators.

The Managed Care Contracting Handbook : Planning and Negotiating the Managed Care Relationship. You don't necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover. and when to ask a lawyer for help. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cove. nd when to ask a lawyer. What Is Managed Care? View abstract. Managed Care Organizations.

Summary Bio: Maria Todd is the personality behind the AskMariaTodd™ brand, a healthcare business .

Summary Bio: Maria Todd is the personality behind the AskMariaTodd™ brand, a healthcare business management firm she launched in 1983. Maria helps healthcare organizations to organize, contract, market and grow revenues and margins. The Managed Care Contracting Handbook: Planning & Negotiating the Managed Care Relationship, 2nd ed. Handbook of Medical Tourism Program Development: Developing Globally Integrated Health Systems. Handbook of Concierge Medical Practice Design. IPA, PHO, and MSO Developmental Strategies: Building Successful Provider Alliances (Hfma Healthcare Financial Management Series).

Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don’t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer for help.

Decode and analyze reimbursement problems, loopholes, and contract stipulations you are likely to encounter Learn tried-and-true tricks, tools, shortcuts, and techniques to evaluate agreements Negotiate contracts that won’t leave you open to unanticipated expenses

Written by Maria K. Todd, a seasoned professional in managed care contracting, this handbook is written for managers, analysts, and finance officers who have the daunting task of negotiating contracts for medical services. It offers an in-depth examination of managed care and its organizations and covers key areas, such as pay-for-performance initiatives, reimbursement methods, contract law basics, and negotiating strategies.The Managed Care Contracting Handbook offers critical details and strategic information as well as resources on everything from HMOs and PPOs to Consumer Driven Health Plans (CDHP), self-funded ERSIA payers, and Medicaid managed care.Fully updates the first edition, which was used widely in the U.S. and overseas.

Designed to equip you with the confidence that comes with knowing the right questions to ask and more answers than you are supposed to know, this easy-access resource ―

Provides a complete overview of managed care organizations Covers contract law basics Presents material that can be used internationally Discusses Medicaid Managed Care Offers an operational evaluation of a typical managed care agreement Includes sample contracts and important checklists, as well as a glossary
  • *Nameless*
Maria's managed care handbook has been very helpful. I've trained my staff using this book as a master guide. It's a good foundational reference guide to have especially for those on the provider's side who are looking to get the basics of managed care all in one book. This book is also equipped with tools and checklists one can use to augment a variety of managed care activities--including contract negotiations.
  • DABY
Great reference book!
  • Kata
I work for a health plan and use this book daily.
  • Arihelm
Maria Todd is truly one of a kind. She has done a phenomenal job in explaining complex concepts in simple and colorful words. The knowledge she presents in this book is extremely practical and stems from her experiences negotiating contracts.

It is definitely very difficult to find a resource like this book.

I highly recommend this book to every person who is involved in collecting payments in the managed care system. As a consultant to physicians for over a decade, I have yet to see such a powerful writing in this area.

Amol Nirgukar, CPA
Reliance Consulting LLC
Certified Public Accountants/Business Consultants
[...]

Email: [email protected]
  • Kale
If you have no basic knowledge of managed care as an industry or some of the nuances of contracting this book may be for you.
  • Modar
This is an excellent resource for Managed Care Contracting. It is a comprehensive guide for everything one needs to know regarding how to read and understand Managed Care Contracts. As a physician practice administrator, I feel that this is one of my greatest resources and something I revisit to verify contract language or clarify specific clauses in a contract. I highly recommended this book to my colleagues in health care administration.
  • Iseared
Todd's personal biases against the U.S. healthcare system and third-party payors are clear from each page, and the dripping sarcasm makes it clear that this book is anything but objective. No author should need to refer to her own "professional, learned opinion" (pg 2), and comparing the relationship between insurance companies and physicians to a game of Whack-a-Mole (pg 22) is ridiculous. I had a tough time getting through the first few chapters of this book, and I ultimately didn't get past them.