راهنمای قراردادهای مراقبت های مدیریتی: برنامه ریزی و مذاکره در روابط مراقبت های مدیریتی ۲۰۰۹
The Managed Care Contracting Handbook: Planning & Negotiating the Managed Care Relationship 2009

1. Front Cover

2. Contents

3. Acknowledgments

4. Introduction

5. Chapter 1: What Is Managed Care?

6. Chapter 2: Managed Care Organizations

7. Chapter 3: All-Products Contracts

8. Chapter 4: Dealing with Self-Funded ERISA Payers in Managed Care: Employee Retirement Income Security Act (ERISA) of 1974

9. Chapter 5: Medicaid Managed Care

10. Chapter 6: Consumer Driven Health Plans: Contracting Implications

11. Chapter 7: Silent Preferred Provider Organizations (PPOs), Secondary Markets, and White Space Management: Three Terms That Translate to Revenue Erosion and Frustration

12. Chapter 8: Single-Case and Continuous-Discount Arrangements

13. Chapter 9: Quality Issues in Managed Care (Pay for Performance)

14. Chapter 10: Reimbursement Methods in Managed Care

15. Chapter 11: Strategic Planning for Renewals and New Contracts: Understanding the Changing Competitive Environment

16. Chapter 12: Developing Business Rules for Better Contracts

17. Chapter 13: Negotiation Techniques, Tactics, and Strategies

18. Chapter 14: Contract Law Basics

19. Chapter 15: Evaluating a Managed Care Agreement— Step-by-Step

20. Appendix: Insurance and Managed Care Glossary

21. Back Cover