section6 - Negotiating with Managed Care Organizations Care...

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Negotiating with Managed Negotiating with Managed Care Organizations Care Organizations
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Checklist for Negotiating a Checklist for Negotiating a Managed Care Contract Managed Care Contract Know your costs Know your capacity Define your competitive advantages Know your for each MCO Understand the requirements & standards of each MCO
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Checklist for Negotiating a Checklist for Negotiating a Managed Care Contract Managed Care Contract Formulate each contract in terms of definitive levels of service Maintain patient opinion data regarding the services your organization provides Learn the level of ethical commitment of each MCO with which you are negotiating
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Checklist for Negotiating a Checklist for Negotiating a Managed Care Contract Managed Care Contract Have factual data in hand at the time of your first meeting with the MCO Assure that your organization establishes the precedent(s) for subsequent negotiations
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Questions to Improve Negotiating Questions to Improve Negotiating Strategy with MCOs Strategy with MCOs (keywords) Registered B.M. specialties - references Employer groups - can we contact Share types of contracts MCO carry professional liability for providers Require providers carry professional liability insurance - how much Insurance products of MCO valid & legal
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Questions to Improve Negotiating Questions to Improve Negotiating
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This note was uploaded on 08/29/2011 for the course HSA 6126 taught by Professor Liberman during the Spring '11 term at University of Florida.

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section6 - Negotiating with Managed Care Organizations Care...

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