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Legal considerations in managed care contracting. 管理式医疗合同中的法律考虑。
Topics in health care financing Pub Date : 1993-01-01
W J Miller
{"title":"Legal considerations in managed care contracting.","authors":"W J Miller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Managed health care systems are created primarily through contracting. Although contracts with managed care organizations, such as health maintenance organizations, are often presented to providers as non-negotiable, this chapter discusses basic contract terms that are frequently negotiated by the parties, including key contract definitions, compensation, term and termination, and \"boilerplate\" provisions. The chapter also emphasizes the need for contracting parties to conduct precontracting due diligence and to comply with applicable antitrust laws in negotiating contracts with groups of independent providers.</p>","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 2","pages":"17-25"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19296968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Administrative and operational responsibilities in contract management. 负责合同管理的行政和运营工作。
Topics in health care financing Pub Date : 1993-01-01
L T McAuley
{"title":"Administrative and operational responsibilities in contract management.","authors":"L T McAuley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Frequently, chief financial officers or marketing executives negotiate contracts that are difficult if not impossible to implement. In addition, those parties responsible for implementing contracts are often unaware of the terms. Formal verbal and written communications within a health care organization will minimize consumer (payer and patient) displeasure, as well as alleviate internal frustration and stress.</p>","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 2","pages":"76-81"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19296974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Banking industry dynamics and implications for hospitals. 银行业动态及其对医院的影响。
Topics in health care financing Pub Date : 1993-01-01
S P Scarborough
{"title":"Banking industry dynamics and implications for hospitals.","authors":"S P Scarborough","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 4","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19325310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishing banking relationships. 建立银行关系。
Topics in health care financing Pub Date : 1993-01-01
S P Scarborough
{"title":"Establishing banking relationships.","authors":"S P Scarborough","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 4","pages":"69-79"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19325316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing bad debt and charity care accounts. 管理坏账和慈善关怀账户。
Topics in health care financing Pub Date : 1993-01-01
P Ferko
{"title":"Managing bad debt and charity care accounts.","authors":"P Ferko","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 1","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19201583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical staff development: planning for a successful program. 医务人员发展:规划一个成功的方案。
Topics in health care financing Pub Date : 1993-01-01
P J Hartwig
{"title":"Medical staff development: planning for a successful program.","authors":"P J Hartwig","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 3","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19471514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing installment payment arrangements. 管理分期付款安排。
Topics in health care financing Pub Date : 1993-01-01
M Fracas
{"title":"Managing installment payment arrangements.","authors":"M Fracas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 1","pages":"61-5"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19201582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing a physician-hospital organization. 发展医师医院组织。
Topics in health care financing Pub Date : 1993-01-01
P F Straley, J B Ryan
{"title":"Developing a physician-hospital organization.","authors":"P F Straley,&nbsp;J B Ryan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 3","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19471515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Independent practice associations: are they viable? 独立执业协会:是否可行?
Topics in health care financing Pub Date : 1993-01-01
S T Valentine
{"title":"Independent practice associations: are they viable?","authors":"S T Valentine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As managed care systems grow along with the efforts of health care reform, independent practice associations (IPAs) will develop and grow. Their success is dependent on efficient management, enrollment, computer systems, a strong medical director, and case management. The IPA is an effective organization to deliver care through a capitated payment system.</p>","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"20 2","pages":"65-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19296972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing hospital credit risk: a banker's view. 评估医院信用风险:一个银行家的观点。
Topics in health care financing Pub Date : 1993-01-01
S D Culler
{"title":"Assessing hospital credit risk: a banker's view.","authors":"S D Culler","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76749,"journal":{"name":"Topics in health care financing","volume":"19 4","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19325313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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