Managed Care

Understanding 5 Negotiation Styles

Understanding the five types of negotiating styles allows contracting staff to produce positive results during health plan discussions.

HFMA November 26, 2018

Solid Negotiation Skills Have an Impact on Health Plan Terms

Using human factors—knowledge, attitude, authority, objectivity, and negotiation skills—can help hospital contracting staff develop favorable terms with health plans.

Lauree E. Handlon November 26, 2018

Ask the Experts: Data for Health Plan Negotiations

What data do I need to arm myself with when going to the negotiation table with health plans?

HFMA November 26, 2018

Providers Should Keep Watch on Payer Discount Increases

A significant uptick in payer contractual allowances and discounts in the first quarter of 2018 indicate that hospitals should remain focused on payer mix and payer category shifts.

Jeanne M. Slates November 2, 2018

Medicaid Managed Care Overhaul Could Follow Election

Oct. 23—A so-called mega rule to overhaul federal standards for Medicaid health plans could come days after the midterm election, an industry leader said this week.

Rich Daly October 24, 2018

Ask the Experts: Lesser-Than Provisions

What specific pitfalls should we look for in terms of lesser-than provisions?

HFMA October 9, 2018

Understanding Pricing Trends in a Changing Environment

Pricing data can help providers make more informed strategic decisions and build better relationships with their patients.

HFMA August 15, 2018

Why Fee-For-Service Remains Prominent

Fee-for-service is still the dominant payment method because of certain economic factors and a traditional industrial mindset that values volume.

HFMA August 14, 2018

How to Really Know Your Payment Rates

A deep understanding of active contracts, combined with proactive and purposeful performance monitoring and open communication with health plans must be in place to ensure that hospitals are appropriately paid and the incentives available to them are aligned.

Debra Ryan August 13, 2018

3 Strategies for Taking Control of Payer Management

Three strategies can help hospitals and health systems prioritize payer contract management.

Will Israel July 18, 2018
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