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Negotiating capitated rates for nurse-managed clinics

A H Green, C Conway-Welch

Nursing Economic$

|March 1, 1995

Summary

Nurse-managed clinics must master negotiating capitated rates to survive healthcare financial restructuring. Demonstrating the value of clinic services to managed care companies is crucial for financial viability.

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Area of Science:

Health Services Research
Healthcare Management

Background:

The healthcare industry is undergoing significant financial restructuring.
Nurse-managed clinics face financial challenges in this evolving landscape.

Purpose of the Study:

To determine the key factors for the financial survival of nurse-managed clinics.
To emphasize the importance of successful capitated rate negotiation.

Main Methods:

Analysis of financial restructuring impacts on healthcare providers.
Assessment of negotiation strategies for capitated payment models.

Main Results:

Successful negotiation of capitated rates is critical for clinic survival.
Understanding contracted services and demonstrating their value are essential.

Conclusions:

Nurse-managed clinics must develop strong negotiation skills for capitated rates.
Effective communication of service value to managed care organizations is vital for financial sustainability.

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