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.
Define the relationship between healthcare providers and managed care payers
List key aspects of managed care contract negotiations
Identify how the relationship and contract between healthcare organizations and managed care payers can affect denials
Advance Preparation: None
Program level: Basic
Delivery Method: Self-study
CPE Field of Study: Specialized Knowledge
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