decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Contracts and Contract Negotiations / Negotiating the Best Deal
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Article Overview
This article discusses how anesthesia practices can approach contract review and negotiation with managed care organizations. It focuses on the importance of legal review, concerns about one-sided amendment language, and the role of dispute-resolution terms such as arbitration and litigation options. The piece is intended for practice leaders, billing and contracting staff, and advisors who handle payer agreements.
Why This Topic Matters
Contract language can affect how a practice is paid, how changes to an agreement are made, and what options exist if a payer dispute arises. Understanding the common negotiation issues covered here helps practices identify provisions that may need review before signing.
What You Will Learn
- Why contract review by an attorney or consultant is important
- Common concerns in managed care contract negotiations
- How amendment language can affect a provider agreement
- General considerations related to dispute resolution clauses
- Broad issues to review before accepting arbitration language
Who Should Read This
- Anesthesia practice administrators
- Physicians and group leaders
- Billing and contracting staff
- Health care attorneys
- Practice consultants
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