| Managed care contracting and payment reform: avoiding a showdown. | |
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MedLine Citation:
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PMID: 20608414 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Health reform promises to fundamentally change what and how CMS and commercial payers reimburse providers. Providers need to transition from their traditionally adversarial, transactions-based payer relationships to ones that optimize purchaser and patient value for the dollar. To avoid negotiation table showdowns and to prepare for reform, commercial payers and providers should take three actions: Recognize the dead ends with their historical relationships. Formulate their road map to value-based contracting. Avoid operational pot-holes along the way. |
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Authors:
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Michael E Nugent |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Healthcare financial management : journal of the Healthcare Financial Management Association Volume: 64 ISSN: 0735-0732 ISO Abbreviation: Healthc Financ Manage Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-08 Completed Date: 2010-08-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8215859 Medline TA: Healthc Financ Manage Country: United States |
Other Details:
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Languages: eng Pagination: 36-9 Citation Subset: H |
Affiliation:
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Navigant Consulting, Inc., Chicago, USA. mnugent@navigantconsulting.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Centers for Medicare and Medicaid Services (U.S.) Economics, Hospital / organization & administration Efficiency, Organizational Health Care Reform* Humans Managed Care Programs* Reimbursement Mechanisms / organization & administration* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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