Contract Negotiation, Implementation and Management

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The Managed Care Resources consulting team has in-depth line experience in the various areas needed to negotiate, implement and manage healthcare contracts:

• Full service HMO Management
• PHO & MSO Management
• Capitation and Fee Schedule Development
• Feasibility Studies
• Cost/Benefits Analyses
• Management Training

Successful contracting between providers and managed care organizations is challenging. Contracting strategy has undergone dramatic changes, from simple discounted fee-for-service to full-risk capitated rates. Effective contracting can make or break an organization's financial success.

Managed Care Resources has assisted clients in all phases of contracting, including analysis of existing contracts, determination of appropriate capitation rates, contracting on behalf of the client, and development of a comprehensive contracting strategy.

MCR takes the mystery out of capitation contracting. We help clients negotiate on an equal footing with HMOs, PHOs, MSOs and other managed care organizations. These services are available to assist you evaluate and resolve your contracting issues:

• Development of a Contracting Strategy
• Contract Effectiveness Evaluations
• Contract Negotiation
• Capitation Rate Development
• Specialty Capitation Contracting
• Network Effectiveness Assessment
• Provider Contract Development

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