Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting
Language: English
Published by mgma, 2016
- Softcover
- Used
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- Title
- Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting
- Author
- Jacobsen, Doral
- Publisher
- mgma
- Publication year
- 2016
- Condition
- As New
- Binding
- Soft cover
- Language
- English
- ISBN 10
- 1568294905
- ISBN 13
- 9781568294902
This book's goal is to offer medical practice leadership teams practical guidance on navigating the shift from volume-based to value-based managed care contractual relationships. Medical practices - both independent and affiliated - that understand how their organization can and should position themselves for the future will have a significant advantage over the competition.
Honestly identifying where you are and defining where you want to be begins with developing a clear understanding of national and local market dynamics, identifying potential arrangements within your local market and applying those factors to your organization's goals. This exercise can ultimately inform your value proposition, which becomes the cornerstone of your managed care contracting strategy.
The book will cover in detail the most common alternative payment models and what your practice should do to prepare for this transition.
Models detailed include:
- - Pay for performance
- - Bundled payments
- - Shared savings
- - Capitation
"Synopsis" may belong to another edition of this title.
About the Author
Nanci L. Robertson, RN, BSN is a healthcare consultant specializing in managed care contracting. Nanci has 30 years of experience working in the healthcare field. Her primary emphasis is negotiating managed care contracts on behalf of physicians, Independent Practice Associations and ancillary providers.Prior to starting Robertson Consulting, Inc. in 2000, Nanci worked in several clinical positions as a Registered Nurse. Her managed care experience included managing and directing the Health Services, Provider Relations and Provider Contracting Department for a national carrier. Additionally, Nanci served as the Site Administrator for a physician management organization responsible for the implementation of global capitation contracts for commercial and Medicare populations.Most recently, Nanci spends her time putting together the puzzle pieces of healthcare reform. Her primary goal is to provide calm in the midst of chaos by assisting her clients with clear, concise, actionable work that promotes the Triple Aim and develops a long-term vision and strategy in the rapidly changing healthcare environment. Nanci holds a Master of Arts in Organizational Development from the University of Phoenix and a Bachelor of Science in Nursing from Loretto Heights College.
"About the title" may belong to another edition of this title.
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