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Group practice contracting with managed care: Part 1.

Lewis W Mustard1

  • 1Healthcare Negligence Control, Inc., P.O. Box 2442, Chapel Hill, NC 27515, USA. executivehealthcare@yahoo.com

The Journal of Medical Practice Management : MPM
|August 2, 2003
PubMed
Summary

Navigating managed care contracts requires understanding market dynamics, legal factors, and stakeholder needs. This article offers a framework to guide administrators and practices through contract negotiations effectively.

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Area of Science:

  • Health Services Research
  • Healthcare Administration

Background:

  • Managed care contracts present significant complexity for healthcare providers.
  • Understanding market dynamics, legal frameworks, and organizational needs is crucial for successful contract negotiation.

Purpose of the Study:

  • To provide a structured framework for healthcare administrators and practices.
  • To guide stakeholders in the negotiation process for managed care contracts.

Main Methods:

  • Literature review on managed care contracting principles.
  • Development of a conceptual framework for negotiation.

Main Results:

  • Key considerations for managed care contract negotiations identified.
  • A systematic approach to evaluating contract terms is outlined.

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Conclusions:

  • Effective managed care contract negotiation relies on a comprehensive understanding of multiple factors.
  • The proposed framework aims to enhance negotiation outcomes for both managed care organizations and practices.