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Insurer and New York City hospital system reach accord
A contract dispute between one of the country's largest insurers and a major New York City hospital system has been...
Web Exclusive: The Nightmare of Health Insurance Bureaucracy
Douglas Arnold, CEO of Medical Professional Services in Middletown, CT, recently spoke about the "daunting"...
Lifting contract clause helps Connecticut hospitals serve uninsured
Three hospitals signed contracts with a Connecticut health insurance program since the state's largest insurer lifted a...
Web Exclusive: New Jersey Launches Web Portal to Reduce Health Plan Paperwork
Health plans launched an initiative in New Jersey in which Web portals will be used in a pilot program that officials...
Magazine: What Will Be the Payment Model in 2020?
Common among a coming array of payment models will be greater data sharing.
Anthem waives contract clause that hindered CT health insurance plan
A state-run health insurance program may have an easier time contracting with hospitals after Connecticut's largest...
WellPoint exec: The consumer view isn't just the hospital view
Wayne S. DeVeydt, WellPoint's executive vice president and chief financial officer, told the Wall Street Journal Health...
Florida Blues strike deal with Take Care clinics
Take Care Health Systems has contracted with Blue Cross and Blue Shield of Florida Inc. to cover services for members...
Three Types of Alignment for Better Payer-Provider Relations
The fundamental need in today's healthcare system is for the two largest constituents—payers and...
UnitedHealth forces pay-for-performance measures in new contract
Under a new contract announced between Advocate Health Care and UnitedHealth Group, Advocate doctors will now be...

Newsletter: Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate...
Book: Beyond the Contract:
This hands-on survival guide will help you prepare for negotiating sessions by delivering techniques and strategies you...
Book: Top Managed Care Contracting Clauses:
Minimize contractual ambiguities between you and your managed care partner by fortifying the document with language...
Book: The New Era of Healthcare: Practical Strategies for Providers and Payers
This book focuses on methods to forge a partnership between healthcare providers and managed care payers. It contains...
Book: Healthcare Price, Cost & Utilization Benchmarks, Volume VI
Whether you are a healthcare provider or a managed care organization, up-to-date benchmarks are critical to successful...