decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Contracts and Contract Negotiations / 5 Issues in Contract Renewal and Termination
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Article Overview
This article discusses practical contract-renewal and termination concerns in managed care arrangements. It is aimed at physicians, practice administrators, and other healthcare billing or compliance staff who review payer contracts and want to understand the major topics that should be addressed before a contract renews, changes, or ends. The discussion focuses on broad contract provisions, notice responsibilities, provider removal, withdrawal, liability coverage, and post-termination obligations.
Why This Topic Matters
Contract language can affect whether a provider stays in a managed care network, how much notice is required, what happens after termination, and whether liability coverage remains adequate. Reviewing these issues helps practices reduce administrative surprises and prepare for contract changes.
What You Will Learn
- How managed care contracts commonly address renewal timing and term length
- What issues are often covered when providers may be removed from a network
- What to consider before withdrawing from a contract
- Why liability coverage should be reviewed against contract requirements
- How post-termination obligations may be addressed in contract language
Who Should Read This
- Physicians
- Practice administrators
- Medical billing staff
- Healthcare compliance staff
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