Verified Document

Healthcare Contract Negotiations: A Strategy Research Paper

Shuttling the results from an outside provider, because the health insurance agency will only reimburse outside screening, forces the patient to wait and possibly incurs more costs, if the delays in obtaining diagnostic information worsen the patient's condition. This can ultimately result in more prolonged treatment. Many patients may also be put at risk because of the logistics of being transported to outpatient facilities for essential screening and rehabilitative services, while they are still convalescing. Being able to conduct all necessary tests in-house results in great efficiency, swifter screening, and improves coordination between the different providers involved in the case. Our hospital has extensive resources for patients, and can provide a wide range of treatment options, particularly in its specializations of cardiac and orthopedic care. And improvements in technology that are keeping extremely sick patients...

Quite often, only large hospitals such as outs can provide full access to the latest technology via in patient care.
From both a cost and patient perspective, shifting more procedures out-of-house does not serve the needs of the hospital, patient, or even the insurance agency in the long run. And it certainly does not serve the needs of society, given that poorer patient health is the likely result. All of this can and must be communicated during the contract negotiations.

References

Mertens, Maggie. (2010, October 4). More Medicaid payment for some doctors. But will it last?

Shots. NPR Blog. Retrieved November 24, 2010 at http://www.npr.org/blogs/health/2010/04/will_medicaid_payment_follow_u.html

Sources used in this document:
References

Mertens, Maggie. (2010, October 4). More Medicaid payment for some doctors. But will it last?

Shots. NPR Blog. Retrieved November 24, 2010 at http://www.npr.org/blogs/health/2010/04/will_medicaid_payment_follow_u.html
Cite this Document:
Copy Bibliography Citation

Related Documents

Health Care Disparity in Maryland
Words: 18449 Length: 67 Document Type: Dissertation

Figure 1 portrays the state of Maryland, the location for the focus of this DRP. Figure 1: Map of Maryland, the State (Google Maps, 2009) 1.3 Study Structure Organization of the Study The following five chapters constitute the body of Chapter I: Introduction Chapter II: Review of the Literature Chapter III: Methods and Results Chapter IV: Chapter V: Conclusions, Recommendations, and Implications Chapter I: Introduction During Chapter I, the researcher presents this study's focus, as it relates to the

Healthcare Law Options in By-Law
Words: 549 Length: 2 Document Type: Essay

This allows for the maintenance of a Network price list, as stipulated in the Physician's version of this clause while still tying price (as well as incorporating the discounts) to standard physician charges, as stipulated by the Network. The Physician's current version of the compensation clause is untenable, however, as it limits the freedom of market forces to have their effect on price, which is unfair to the network

Health Care Organization Over the
Words: 994 Length: 3 Document Type: Case Study

Outline some considerations that an organization must address when negotiating a risk contract. Some considerations that must be taken into account during any part of the negotiation process include: the overall impact that this will have on revenues, possible effects that this can have on the business model, the downside of entering these kinds of agreements and the overall benefits that can be realized for both organizations. These different elements are

Clinical Integration: Healthcare
Words: 3527 Length: 11 Document Type: Essay

Healthcare: Clinical Integration Item Page What is clinical integration History of clinical integration Goals of clinical integration Importance of clinical integration Health reform New payment models IT advancement Barriers to clinical integration Legal barriers Lack of practitioner alignment Lack of interoperability How to achieve success in clinical integration Incentive alignment Knowledge alignment Behavioral alignment The future of health care systems Physician acquisitions vs. clinical integration HIEs -- solution to clinical integration? Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the

Insurance Contracting Strategy
Words: 1077 Length: 3 Document Type: Essay

The other necessary element in this process is procedure cost vs. reimbursement evaluation and proactive search of strong reimbursement for future volume. Analysis of the first element is crucial because it helps in ensuring that reimbursement documented in existing contracts is being effectively recorded. The information obtained during this stage can be used at any time of renegotiations or contribute to the development of effective alternative approaches. The assessment

RFP in Healthcare Industry Request for Proposal
Words: 2822 Length: 10 Document Type: Business Proposal

RFP in Healthcare Industry Request for proposal in health care industry Request for Proposal (RFP) in Healthcare Industry In order to continually provide adequate Medicare to patients, a review of the electronic health record options reveal that the appropriate strategy is to procure Electronic Medical Record software. The primary objective of this RFP is to implore bids from system integrators or commercial off the shelf software merchants to devise, install, construct and implement

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now