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An integrated approach to managed care contracting
1Transition Systems, Inc., Boston, MA.
Abstract:
Managed care plans make up an increasing share of today's hospital payer mix. As a result, it is important for hospitals to negotiate the best possible managed care contract terms in order to minimize risk and maximize opportunity. This article presents a six-step "closed loop" approach to managed care contracting, showing how hospitals can integrate--through their information systems--the strategic, financial, and patient care processes that are part of the managed care cycle.