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You are here > Home > Reading Lists > Compliance Resources > The Managed Care Contracting Handbook: Planning & Negotiating the Managed Care Relationship The Managed Care Contracting
Handbook: Planning & Negotiating the Managed Care Relationship Hardcover: 300 pages
Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don’t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer for help.
Written by Maria K. Todd, a seasoned
professional in managed care contracting, this handbook is written
for managers, analysts, and finance officers who have the daunting
task of negotiating contracts for medical services. It offers an
in-depth examination of managed care and its organizations and
covers key areas, such as pay-for-performance initiatives,
reimbursement methods, contract law basics, and negotiating
strategies.
Designed to equip you with the confidence that comes with knowing the right questions to ask and more answers than you are supposed to know, this easy-access resource —
Maria K. Todd, PhD, MHA is a professional consultant providing the wealth of her knowledge and practical wisdom to more than 2000 hospitals, physicians, and therapists during the past 25 years. Possessing a depth and diversity of experience matched by few, she has earned a reputation as a peerless expert on managed care. She worked as an EMT and a surgical tech before moving into medical administration and health plan coordination. In addition to degrees in health administration, she is a certified mediator and health law paralegal. A prolific author, she is in constant demand as an award-winning speaker. As a volunteer, she has directly assisted hundreds of senior citizens.
"Maria Todd is the most gifted managed
care negotiation resource I have ever had the pleasure of knowing.
Maria’s vast knowledge is as uncommon as it is welcomed to even the
playing field between healthcare providers and payors. Those
fortunate providers who take the time to participate in her
educational sessions or read her books will undoubtedly achieve
unparalleled results." — Troy D. Roth, Senior Vice President,
Revenue Management Strategy, Accuro, A MedAssets Company
"Many organizations struggle to optimize
their managed care strategies to achieve operational and financial
success. Maria Todd's new book could be the missing keystone to
achieve that success. This is a must-read for every hospital
executive involved in the managed care process - clinical and
financial leaders alike. Clearly and concisely, Maria Todd lays out
the background of managed care in all its complexity. Most
importantly, she offers proven methods for planning, negotiating,
executing, and evaluating managed care contracts that will withstand
legal and operational challenges. Maria is well known for her
knowledge, good judgment, and commitment to the industry, and her
newest book should be used as a key part of any healthcare
provider's managed care strategy." — David Hammer, MBA, MHS,
FHFMA, CHFP, Vice President, Revenue Cycle Solutions McKESSON
Provider Technologies
"I know I can rely on Ms. Todd to clearly define and simplify complex issues. Not only does it help my understanding, but assists me in conveying complicated issues to others. I have consistently found her recommendations and tools to be practical and useful." — Ed Casteel, Divisional Managed Care Director, Mississippi Division, Health Management Associates You may also be interested in / The Directory of Healthcare Recruiters / Jump to a List / Health Administration & Leadership / Physician Executive, Medical Staff & Practice Management / Finance, Accounting, Economics, Billing & Reimbursement / Coding for Hospital, Physician & Clinical Services / Law, Malpractice, Ethics, Accreditation & Compliance / Quality Improvement, Outcomes & Customer Service / Risk Management, Security, Error Reduction & Patient Safety / Information Systems, Technology & Medical Records / Clinical Management & Executive Nursing / Behavioral Health, Social Work & Psychiatry Management / Human Resources, Management & Supervision / Directories, Data, Trends & Benchmarks / Software & CD-ROMs / Gift Ideas & Recommended Gifts / Journals, Magazines & Newsletters / Search for Books / Books Index / Go to / Home Page / Toolbox for Health Administrators / Bookstore / |
