Today's health care marketplace is highly competitive, requiring managed care providers to contract with dozens of insurers to survive. Each of these contracts comes with its unique terms and conditions making the contracting process overwhelmingly complex and giving many health care executives major headaches.

Physicians (and most health care professionals, for that matter) have trained as scientists, therefore, they are accustomed to making decisions based upon pertinent information. It's not surprising that when faced with standard managed care contracts, physicians want to do more than just sign on the dotted line. "Do more" usually means turning to the reimbursement schedule before deciding to sign. But the sections of the contract dealing with how the managed care organization administers its products and program are often overlooked, Payers come to the table with specific payment methodologies and contract provisions in mind. Providers who prepare in advance are in the best position to respond to opportunities to make a better contract, rapidly and effectively, and are more likely to benefit from entering into risk contracts.

At Healthcare Counsel, Inc. we have years of experience in negotiating managed care contracts. We know what is fair compensation and will work hard to ensure you are adequately paid for your services plus minimize the administrative burden your staff performs.

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