States have increasingly outsourced the provision of Medicaid services to private managed care plans. To ensure that plans maintain access to care, many states set network adequacy standards that ...
ASCs and their urologists can often feel intimidated and ill-equipped to deal with the negotiation process. They may accept what payors offer and begrudgingly sit tight year after year knowing that ...
CRC screening rates in a large managed care organization were low. Among those screened, use was associated more with physicians' recommendations than with patient preferences. Multi-method study ...
Managed care strategies employed by insurance plans should have the goal of improving health outcomes for patients rather ...
Here are seven best practices from managed care contracting experts to help you get paid fairly by third-party payors. 1. Give yourself ample time to negotiate a contract. To convince a payor that you ...
Accountable care organizations can generate medical and drug cost savings of at least 12 percent for asthma and chronic obstructive pulmonary disease patients, according to a Decision Resources report ...
In this moderated session, a panel of senior executives and stakeholders with significant experience in optimizing physician practice management valuations discussed how managed practices can add ...
2019 DEC 04 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Data detailed on Managed Care have been presented. According to news reporting originating in Boston, ...
Only 58 percent of patient care physicians in California are accepting new patients with HMO coverage, and the “California Model” of loose networks of private practice physicians organized into large ...
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