decisionhealth Newsletters, Answer Books - 2009 Issue 10 (October)
Contracts and Contract Negotiations / Legal-Financial Issues - Check MCO's Financial Health
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Article Overview
This short article focuses on pre-contract and contract-negotiation considerations for physician groups working with managed care organizations. It covers broad legal and financial review steps, including attorney involvement, agreement protections, and checking an entity’s financial and regulatory status before finalizing a relationship.
Why This Topic Matters
Understanding an MCO’s financial health and regulatory standing can help physician groups reduce contract risk and protect their legal and business interests.
What You Will Learn
- Why legal counsel should be involved in managed care contracting
- What financial information to review before entering an agreement
- How regulatory records can factor into contract due diligence
- What general protections may be considered in a managed care agreement
Who Should Read This
- Physicians
- Physician group administrators
- Medical practice managers
- Healthcare attorneys
- Contract negotiators
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