Most terms in managed care agreements are ambiguous and pose risks if you fail to clarify and analyze the cost of compliance or performance. New analysts and negotiators, with well-developed experience analyzing commercial contracts are often caught off guard with the terms and phrases contained within most managed care payer contracts. There are no...
Avoid these Costly Oversights in Your Managed Care Contracts
Physicians and Clinic Managers get so caught up in day-to-day routines that sometimes years pass before they realize the costly oversights they’ve permitted in their managed care contracts. Each of these oversights, left unchecked and unmanaged, have the potential to significantly impact your bottom line. The calls we get from physicians, dentists, orthotics...
Can a Contract Be Assumed Even If You Chose Not to Participate?
Remember the phrase “No good deed goes unpunished”? Take heed and avoid this nasty situation by being meticulous with your managed care negotiation communications. When I assist in the negotiation of a contract together with a client, clients at first describe me as “obsessive” about avoiding oral negotiation communications on clarifications, changes, and acting...