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What the contract doesn't say.

W Lane1

  • 1Tampa Bay Doctors Inc., FL.

Managed Care (Langhorne, Pa.)
|March 9, 1994
PubMed
Summary
This summary is machine-generated.

Physician contract negotiation requires careful review of preferred provider organization (PPO) agreements. Experienced negotiators highlight hidden clauses, or "sleepers," that can negatively impact physicians.

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Area of Science:

  • Health Policy
  • Medical Economics

Background:

  • Preferred Provider Organization (PPO) contracts are common in healthcare.
  • Physicians often face complex contractual agreements with PPOs.

Purpose of the Study:

  • To identify and explain potential "sleepers" or hidden clauses in PPO contracts.
  • To advise physicians on navigating PPO contract negotiations effectively.

Main Methods:

  • Analysis of PPO contract terms by an experienced physician negotiator.
  • Identification of commonly overlooked or unstated conditions.

Main Results:

  • PPO contracts may contain "sleepers" – unstated conditions detrimental to physicians.
  • These hidden clauses can affect physician interests and practice viability.

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Conclusions:

  • Physicians must exercise extreme caution and thorough due diligence when reviewing PPO contracts.
  • Understanding potential "sleepers" is crucial for favorable contract negotiation and physician protection.