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    Managed Care Contracting In a Value-Based World: Contracts, Agreements, Collections, and Discounts

    Ellen StewartEllen Stewart, partner at Spencer Fane LLP, provides a comprehensive and in-depth understanding of the managed care system. Learn more.

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Managed Care Contracting in a Value-Based World: Contracts, Agreements, Collections, and Discounts

Date & Time (Local)

Thursday, May 03 to Friday, May 04 — 8:00 a.m – 1:00 p.m

Faculty

Ellen E. Stewart, FHFMA, JD
Partner
Spencer Fane, LLP

Location

San Diego     

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Summary

This program will provide a comprehensive and in-depth understanding of the managed care system within the context of the current US healthcare system, including bundling charges, paper and provider audits of pre-payment and post-payment issues, global fees, capitated payments, and special issues related to physician contracting.  This program will also include discussion of the driving forces in managed care, including efforts to reform health care, specifics on health plan initiatives, public policy, and patient service imperatives that continue to shape change.

After This Seminar, You'll Be Able To:

  • Describe the multitude of emerging, value-based contracting options
  • Review insurance, PPO, and ERISA plan contracts to maximize reimbursement and minimize denials
  • Recognize problematic contract terms that impact reimbursement and operations
  • Discuss capitation per diem and percentage of charges rate under assumed risks, and develop strategies for managing and sharing those risks

Tools & Takeaways

List of contracting and negotiation principles; sample managed care contract

Level:

Intermediate

Prerequisites:

General knowledge of reimbursement and contracting principles

Credits:

13.5 CPEs

 

Register-now

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    Our Ironclad Guarantee

    HFMA stands behind the quality of our programming. If you are not satisfied, we will gladly refund your money or provide you with a credit certificate toward any future HFMA National educational programs or select products.

    Contact HFMA directly at 3 Westbrook Corporate Center, Suite 600, Westchester, IL 60154, Attn: Professional Development, or call (800) 252-4362. Please provide HFMA with your comments within two weeks of the program.

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