Payer Contracting Virtual Workshop: Demystifying Managed Care Contracts

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Negotiating payer contracts can feel intimidating, but it doesn’t have to be if team members are armed with the right tools to demystify contract rates and terminology. Breaking down the intricacies of managed care contracting is essential for facilities when reviewing and negotiating the terms of a contract.

Agenda highlights include:

  • Part I: Contract negotiations
    • Analyzing current contract performance before entering negotiations
    • Understanding the bottom line when it comes to contract rates
    • Case study
  • Part II: How policies and manual directives impact contracts
    • Understanding how the language of a contract can negate your negotiated rates
    • Interpreting the payer’s medical policies and provider manual directives
    • Case study
  • Part III: Teamwork in contracting
    • Educating team members about contract terms that impact their roles
    • Managing contracts through distribution, education, and matrices
    • Case study
Participants will also be able to ask questions live at the end of each case study!
 
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