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Capitation for Physicians : Understanding & Negotiating Contracts to Maximize Reimbursement & Manage Financial Risk Book

Capitation for Physicians : Understanding & Negotiating Contracts to Maximize Reimbursement & Manage Financial Risk
Capitation for Physicians : Understanding & Negotiating Contracts to Maximize Reimbursement & Manage Financial Risk, Physicians, trained in the clinical aspects of medicine and care of patients, are now expected to deliver not only quality care but also price and appropriate outcomes, all within the increasingly complex arena of managed care and capitated contracts. Cap, Capitation for Physicians : Understanding and Negotiating Contracts to Maximize Reimbursement and Manage Financial Risk has a rating of 3 stars
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Capitation for Physicians : Understanding & Negotiating Contracts to Maximize Reimbursement & Manage Financial Risk, Physicians, trained in the clinical aspects of medicine and care of patients, are now expected to deliver not only quality care but also price and appropriate outcomes, all within the increasingly complex arena of managed care and capitated contracts. Cap, Capitation for Physicians : Understanding and Negotiating Contracts to Maximize Reimbursement and Manage Financial Risk
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  • Capitation for Physicians : Understanding and Negotiating Contracts to Maximize Reimbursement and Manage Financial Risk
  • Written by author John F. McCally
  • Published by Irwin Professional Publishing, 1996/12/31
  • Physicians, trained in the clinical aspects of medicine and care of patients, are now expected to deliver not only quality care but also price and appropriate outcomes, all within the increasingly complex arena of managed care and capitated contracts. Cap
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Ch. 1 The Changing Dynamics of Health Care Reimbursement 1
Ch. 2 The Changing Organizational Dynamics of Physician Practices 9
Ch. 3 The Stages of Managed Care Development and Their Impact on Physicians 21
Ch. 4 Models for Physician Responses and Managed Care Participants 27
Ch. 5 Major Contract Issues That Impact Physicians in Managed Care Contracts 33
Ch. 6 Analyze Your Current Practice Activity Before Looking at a Contract 41
Ch. 7 Fifty Questions to Improve Your Bottom Line and Negotiation Strategy 51
Ch. 8 Analysis and Review of Sample Capitated and Medicare Contracts 57
Ch. 9 Analytical Process for Calculating Capitated/Risk Contract Rates 103
Ch. 10 How to Develop a Managed Care Strategy: Remember You Only Get What You Negotiate 119
Ch. 11 Recognizing the Change and Impact of Going from Discounted Fee-for-Service Contracts to Capitation 127
Ch. 12 Physician Income Distribution Systems under Capitation 137
Ch. 13 Management Information Systems Improve the Chances for Success of a Capitated Contact 147
Ch. 14 The Benefits of Using Cost Information When Implementing Capitated Contracts 155
Ch. 15 Legal Concerns and Issues in the Managed Care/Capitated Health Care Delivery System 161
Appendix: Managed Care Resources and Organizations 169
Glossary 173
Index 194


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Capitation for Physicians : Understanding & Negotiating Contracts to Maximize Reimbursement & Manage Financial Risk, Physicians, trained in the clinical aspects of medicine and care of patients, are now expected to deliver not only quality care but also price and appropriate outcomes, all within the increasingly complex arena of managed care and capitated contracts. Cap, Capitation for Physicians : Understanding and Negotiating Contracts to Maximize Reimbursement and Manage Financial Risk

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Capitation for Physicians : Understanding & Negotiating Contracts to Maximize Reimbursement & Manage Financial Risk, Physicians, trained in the clinical aspects of medicine and care of patients, are now expected to deliver not only quality care but also price and appropriate outcomes, all within the increasingly complex arena of managed care and capitated contracts. Cap, Capitation for Physicians : Understanding and Negotiating Contracts to Maximize Reimbursement and Manage Financial Risk

Capitation for Physicians : Understanding & Negotiating Contracts to Maximize Reimbursement & Manage Financial Risk

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