You are the new CFO, of UMUC Medical Center, a 120 multi-skilled level three (3) healthcare facility. You have summoned a team of healthcare and business experts to assist with the process of contract negotiating. Based on the federal mandate of the Affordable Care Act (ACA), prepare a proposal summarizing the team’s final recommendations in preparation for an upcoming meeting.
Devise a proposal that addresses the following:
Successfully Negotiating Managed Care Contracts: http://www.hfma.org/Content.aspx?id=16658
Managed Care Answer Guide: http://www.patientadvocate.org/requests/publications/Managed-Care.pdf
Managed Care Contracts – Key Provisions for Providers https://corporate.findlaw.com/law-library/managed-care-contracts-key-provisions-for-providers.html
National Council on Disability (2013). Chapter 1. An Overview of Medicaid Managed Care. https://www.ncd.gov/publications/2013/20130315/20130315_Ch1/
Tinsley, R. (1998, September/October). Negotiating or renegotiating managed care contracts.. Medical Group Management Journal. pp. 66-71. (In Week 4 Learning Resources)
Managed Care Contracting Toolkit: https://www.glms.org/Content/User/Documents/PPAC/ManagedCareToolkitComplete.doc
Sample Managed Care Contract Template: https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/Office%20Operations/sample_managed_care_contract.pdf
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