Ask the Experts: Contract performance
My organization recently transitioned to its first Ambulatory Payment Classifications (APC)/DRG-based contract with a commercial plan. We are struggling with determining how to monitor the contract’s performance and, in particular, with the primary focus on the APC payment. Are there recommended key performance indicators (KPIs) used to track this performance? Answer: It is likely that your organization…
How to refine medical record sharing to mitigate risk and improve productivity
Careful review of medical record sharing costs and responsibilities stated in managed care contracts can reduce providers' expenses and productivity burden during payer reviews and audits.
Henry Ford Health System Joins Direct-Contracting Trend
Henry Ford Health System expects to succeed in its direct-contracting initiative with General Motors, thanks in large part to its capabilities in areas such as analytics, case management, and patient engagement.
Strategies for Crafting Stop-Loss Contracts
Chris Williams explains how to craft stop-loss contracts for employee health plans.
Creating PSAs That Promote a Meaningful Hospital-Physician Bond
Professional services agreements between hospitals and physicians should be structured to create integrated, binding relationships that support value-based strategies and creation of a high-performing provider networks.
Aligning Value-Based Contracts for Better Performance
A roundtable of senior financial leaders that offers strategies for evaluating, operationalizing, and aligning value-based contracts and care delivery work streams.
Your To-Do List When Health Plan Contracts Change
Six steps can help revenue cycle leaders manage health plan changes effectively.
Understanding 5 Negotiation Styles
Understanding the five types of negotiating styles allows contracting staff to produce positive results during health plan discussions.
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.
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?