Managing Managed Care Contracts

As healthcare organizations move towards a managed care model, which aims to lower the cost of healthcare while still improving the quality of care provided, it is essential that their contracts with managed care payers reflect this new approach.

• Describe the relationship between healthcare providers and managed care payers
• List key aspects of managed care contract negotiations
• Explain how the relationship and contract between healthcare organizations and managed care payers can affect denials

Additional Information

Advance Preparation: None

Prerequisites: None

Program level: Basic

Delivery Method: Self-study

CPE Field of Study: Specialized Knowledge

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