Product Detail

Preface
About the Editors and Authors
Acknowledgments
Introduction

1. Basics of Negotiating
Richard H. Sanders

2. Antitrust Issues in Managed Care Contracting
John M. Kirsner

3. Key Contract Definitions
Matthew P. Amodeo

4. Payor Programs and Policies: Utilization Management and Quality Assurance
Robin J. Fisk

5. Risk-Based Payment Methods
George W. Bodenger

6. Term and Termination Provisions
Michael F. Schaff

7. Insurance Requirements and Indemnification
Kathrin E. Kudner

8. Other Cotnract Provisions
Mark S. Kopson

9. Dispute Resolution
Thomas P. O'Donnell

10. Protecting Against Insolvency
John A. Meyers

11. Government Payors
Lisa G. Han

Appendix A - Glossary of Health Plan Contracting Terms
Appendix B - Table of Sample Clauses
Appendix C - Physician Group Practice Provider Agreement Template with Commentary