An Introduction to Contract Management

Learn the basics of managed care contracting, including criteria-based contracting and how to monitor contract compliance.

Estimated course completion time: 1 hour and 30 minutes.

Learning Objectives:

After this program you’ll be able to:

• Identify the purpose of a contract.
• Identify key components and common terms of a contract.
• Identify key components and common terms of a health plan/payer contract.
• Define criteria-based contracting and recognize an evaluation model.
• Identify elements to monitor for contract compliance during the contract term, at renewal, or when problems arise with the current contractor.

Syllabus:

01. Section 1: About the Course

• Lesson 1: Getting Started

02. Section 2: Contracts 101

• Lesson 2: What Is a Contract?

03. Section 3: Common Contracts in Healthcare

• Lesson 3: Contracts Used in Healthcare

04. Section 4: Evaluating Provider/Payer Contracts

• Lesson 4: Evaluating Provider/Payer Contracts

05. Section 5: Implementing & Monitoring Contracts

• Lesson 5: Implementing & Monitoring Contracts

06. Section 6: Conclusion

• Lesson 6: Key Points to Remember
• Lesson 7: Assessment

General Program Information