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Related Experiment Videos

Questions to mull on managed-care pacts.

S Berger, J Abendshien

    Modern Healthcare
    |March 16, 1992
    PubMed
    Summary
    This summary is machine-generated.

    Hospitals should carefully evaluate costs before negotiating managed care contracts. Focusing solely on price can lead to financial risks when servicing these agreements.

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    Area of Science:

    • Healthcare Administration
    • Health Economics
    • Contract Negotiation

    Background:

    • Managed care is a complex healthcare delivery system.
    • Hospitals often face challenges in contract negotiations.
    • Understanding service costs is crucial for profitability.

    Purpose of the Study:

    • To advise hospitals on negotiating managed care contracts.
    • To highlight the risks of price-based negotiations.
    • To provide guidance on cost assessment for managed care agreements.

    Main Methods:

    • Analysis of common hospital negotiation pitfalls.
    • Expert recommendations from healthcare financial consultants.
    • Development of key questions for contract evaluation.

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    Main Results:

    • Many hospitals negotiate managed care contracts based on price alone.
    • This approach overlooks the actual costs of servicing agreements.
    • Failure to assess costs can lead to financial losses.

    Conclusions:

    • Hospitals must adopt a cautious approach to managed care contract negotiation.
    • Thorough cost analysis is essential for successful contract terms.
    • Strategic questioning during negotiations can mitigate financial risks.