Provider Managed Care Negotiations
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Providers are solicited by a bewildering array of managed
care networks. Contracts are frequently signed with minimal attention to
the
requirements contained within. Negotiated fees need to be competitive to
patient usagee and yet provide adequate revenue for providers.
Benefits
- Outsource time consuming managed care contract negotiations to a
professional organization experienced on both the managed care and
provider side.
- Get technical help in establishing the “bottom line” for fee
negotiations.
- Understand contract requirements before committing.
- Reach out to managed care networks or segments of patient
business (e.g. workers’ compensation) desired.
- Maintain complete control over the process.
Outsource Manage Care Contract Negotiations
- PRISM helps determine desired and bottom line fees.
- All managed care approaches are reffered to a PRISM consultant.
- PRISM determines the value of contracting with a particular managed
care network.
- Agreements are reviewed and salient requirements to
provider.
- PRISM negotiates fees and contract requirements are conveyed with
managed care
networks.
- PRISM develops a contract management system for provider, and
establishes schedule of renewals.
Process
- PRISM reviews current managed care contracts that provider has and
targets some for renegotiation.
- The protocol for managed care approaches is established.
- Select managed care networks are approached for re-negotiation.
- Contacts made to pre-established market segments in which provider
wants to expand
relationships.
- PRISM presents completed managed care contracts for review and
signature.
Contact PRISM Healthcare Resources LLC to outsource this difficult but
often minimized task of managed care contracting
Telephone: (586)
468-2138
Email: Info@prismhcr.com
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