Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Business Partners
Health Plans
Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Early Careerist
Executive
Experienced Professional
Mid-Senior
Student

Recommended for:

Admissions
Business Development
Business Operations
Medical Records
Patient Access
Patient Accounts
Patient Engagement
Patient Experience
Patient Financial Services
Registration
Reimbursement

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

6 Months

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Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
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Trend | Contracting
A short description of payment methodologies offers context on the argument about whether fixed fees are preferable to percent-of-charge provisions.
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Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.
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News | Contracting
How one health system won a large direct contract as such arrangements become more widespread.
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On Demand Webinar | Intermediate | Contracting

Understanding the Semantics and Execution in Contract Negotiations

On Demand Webinar | Intermediate | Contracting

Understanding the Semantics and Execution in Contract Negotiations

Description

A medical center CEO will explain his role in facilitating contracting collaboration with medical staff, health plans, and with legal council for effective and efficient implementation in executing contracts. Learn about successful tools, strategies, and case studies for negotiating terms and identifying opportunities in health plan agreements and physician contracts.
After this program, you'll be able to..
  • Evaluate contract provisions to anticipate risks and opportunities
  • Illustrate case studies regarding physician agreements and managed care contracts
  • Identify criteria for contracted services year end evaluation
  • Review semantics such as termination clause, indemnification, amendment, dispute resolution, and quality metrics

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Estimated course completion time: 45 minutes

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