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Related Experiment Videos

Disease management: a contracting primer.

S Becker1, K Kannensohn

  • 1Ross & Hardies, Chicago, IL, USA.

Medical Interface
|July 6, 1996
PubMed
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Negotiating disease management contracts involves understanding key issues and steps. This guide focuses on provider-driven perspectives for managing patient care costs and associated risks.

Area of Science:

  • Health Services Management
  • Healthcare Economics
  • Contract Negotiation

Background:

  • Disease management programs aim to control costs for specific patient populations.
  • Contracting in healthcare involves complex negotiations between providers and payers.
  • Provider-driven entities often seek to manage financial risk in care delivery.

Purpose of the Study:

  • To outline critical issues in negotiating disease management contracts.
  • To provide a step-by-step guide for effective contract negotiation.
  • To offer insights from the perspective of pharmaceutical companies and provider-driven entities.

Main Methods:

  • Analysis of negotiation strategies in disease management contracting.
  • Review of contractual frameworks where providers assume financial risk.

Related Experiment Videos

  • Discussion of challenges and best practices in healthcare contract negotiation.

    • Main Results:

    • Successful negotiation requires a clear understanding of risk allocation.
    • Contractual terms must align with the goals of disease management.
    • Provider perspective emphasizes managing costs and ensuring quality of care.

    Conclusions:

    • Effective disease management contracting necessitates strategic negotiation.
    • Understanding provider-centric viewpoints is crucial for successful agreements.
    • These contracts are vital for managing healthcare costs and patient outcomes.