How to evaluate managed care contracts
Lewis, J.B.
Healthcare Financial Management Journal of the Healthcare Financial Management Association 44(12): 32; 34 36 Passim
1990
ISSN/ISBN: 0735-0732 PMID: 10145352 Document Number: 357043
In the early days of managed care, some hospitals hastily agreed to health plan contracts without proper deliberations. An analysis model can be used to examine the results of current managed care contracts and to estimate a proposed contract's potential bottom line contribution or opportunity loss. With this information, healthcare organizations can identify new contract proposals worth pursuing with health maintenance organizations, preferred provider organizations, employer groups, and other health plans.