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A hospital administrator's guide to successful HMO negotiations
1Akron City Hospital, Ohio.
Health Care Management Review
|January 1, 1987
Summary
Hospital administrators can enhance negotiations with Health Maintenance Organizations (HMOs) by understanding alternative delivery programs and their hospital's operational needs. This knowledge is crucial for successful healthcare contract discussions.
Area of Science:
- Healthcare Administration
- Health Economics
Background:
- Hospitals face complex negotiations with Health Maintenance Organizations (HMOs).
- Understanding the landscape of alternative healthcare delivery is essential for providers.
Purpose of the Study:
- To identify key considerations for hospitals negotiating with HMOs.
- To provide strategies for improving negotiation outcomes.
Main Methods:
- Analysis of healthcare negotiation principles.
- Review of hospital operational requirements and HMO structures.
Main Results:
- Successful negotiations require a deep understanding of HMO philosophy and terminology.
- Knowledge of internal hospital operating requirements is critical.
Conclusions:
- Hospital administrators can improve HMO negotiations through strategic preparation.
- Understanding both external (HMO) and internal (hospital) factors is vital for effective contracting.
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