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Trends in managed care contracting.

J Gallagher

    The Medical Staff Counselor
    |February 3, 1992
    PubMed
    Summary
    This summary is machine-generated.

    Physicians can navigate managed care contracting by understanding current trends and using practical strategies for plan evaluation and negotiation. This guide helps address common issues in managed care agreements.

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    Area of Science:

    • Health Services Research
    • Healthcare Management
    • Medical Economics

    Background:

    • Managed care contracting has evolved significantly, impacting physician-payer relationships.
    • Physicians require updated knowledge to effectively engage with managed care organizations.
    • Understanding contract terms is crucial for financial viability and practice sustainability.

    Purpose of the Study:

    • To outline current trends in managed care contracting.
    • To provide physicians with practical guidance for managed care plan evaluation.
    • To equip physicians with strategies for negotiation and problem-solving within managed care contracts.

    Main Methods:

    • Review of current managed care contracting trends.
    • Development of a framework for evaluating managed care plans.

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  • Guidance on negotiation tactics and dispute resolution.

    • Main Results:

    • Identification of key trends influencing managed care agreements.
    • A structured approach for physicians to assess managed care plan offerings.
    • Strategies for successful contract negotiation and management of contract disputes.

    Conclusions:

    • Effective managed care contracting requires informed evaluation and strategic negotiation.
    • Physicians can improve outcomes by proactively addressing contract terms and potential issues.
    • This guidance supports physicians in optimizing their participation in managed care environments.