Take a business approach to your managed care contracting strategy
Whether negotiated payment arrangements represent a small or large portion of your net patient revenues, contracting changes that are occurring on a macro scale may significantly affect your healthcare organization this year and next, says Christopher J. Kalkhof, FACHE, director of the Healthcare Industry Group, LLC, at Alvarez & Marsal in New York City. With federal and state governments partnering with managed care organizations (MCO) in programs, such as Medicare Advantage, managed Medicaid, Child Health Plus, and more than a dozen states considering universal healthcare coverage initiatives, many healthcare organizations will see their payer mixes evolve to the point where 80% or more of net patient revenues will be based on negotiated payments.
By identifying the critical elements of your contracts and developing a contracting strategy that’s aligned with your business plan, your organization can manage the impact of managed care contracts on your bottom line, Kalkhof says, provided you ask the right questions.
- Interventional Radiology No Longer a Sub-Specialty
- NFP Hospitals' Revenue Growth at 'All-Time Low'
- Will More Pioneer ACOs Defect?
- Acute Kidney Injury Gets New Focus
- Evidence-Based Practice and Nursing Research: Avoiding Confusion
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- Transforming Cancer Care
- mHealth Tackles Readmissions
- CNO Leads $1M Charge for New Scrubs, Uniforms
- Proton Beam Therapy Poised for Growth in US