Related Experiment Videos
Home infusion therapy meets managed care: confrontation or cooperation
1Winters Associates, Parsippany, NJ 07054.
Summary
Home infusion therapy presents unique challenges due to high costs, causing friction between managed care organizations and providers. This study identifies key barriers and suggests collaborative solutions for better contracting relationships.
Area of Science:
- Healthcare Management
- Health Economics
Background:
- Home infusion therapy is uncommon but costly.
- This leads to conflicts between managed care organizations (MCOs) and home infusion therapy (HIT) providers.
- Contracting relationships are often strained.
Purpose of the Study:
- Identify barriers in MCO-HIT provider contracting.
- Propose strategies for a mutually beneficial contracting environment.
Main Methods:
- Analysis of contracting barriers.
- Review of existing MCO-HIT provider relationships.
Main Results:
- Key barriers to smooth contracting identified.
- Specific challenges in cost negotiation and service provision highlighted.
Conclusions:
- Addressing identified barriers can improve MCO-HIT provider relations.
- Implementing win-win strategies fosters collaborative partnerships.