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Related Experiment Videos

Perioperative managed care reimbursements

L Adams

    Nursing Management
    |April 1, 1997
    PubMed
    Summary

    Thriving in managed care requires more than quality healthcare. Analyze your market and strategically negotiate with managed care organizations for successful contracting.

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    Area of Science:

    • Healthcare Management
    • Managed Care Contracting
    • Market Analysis

    Background:

    • High-quality healthcare provision is insufficient for success in the current managed care environment.
    • Healthcare providers must adapt to evolving market dynamics and payer relationships.

    Purpose of the Study:

    • To emphasize the necessity of market analysis and strategic representation in managed care negotiations.
    • To highlight the role of contracting managers in securing favorable agreements.

    Main Methods:

    • Marketplace analysis techniques.
    • Negotiation strategies for healthcare services.
    • Information gathering from contracting managers.

    Main Results:

    • Understanding the market landscape is crucial for effective negotiation.
    • Strategic representation enhances the provider's position with managed care companies.
    • Contracting managers offer vital insights for service agreements.

    Conclusions:

    • Healthcare organizations must integrate market analysis and negotiation skills into their operational strategy.
    • Collaborating with contracting managers is essential for optimizing managed care contracts.

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