White G M
Mid-America Cardiology Associates, Kansas City, Missouri, USA.
Mo Med. 1996 Jul;93(7):356-7.
This article presents a checklist of 20 factors a practice should consider when negotiating a managed care contract. The negotiation of the contractual terms is at least as important as the capitation rate or fee schedule. With the advent of Medicare HMO Risk plans, the last bastion of patient choice is being eroded. Practices now are negotiating fees and terms with almost every plan. It is necessary for all practices to become knowledgeable in the intricacies of managed care contractual negotiation.
本文列出了一份包含20个因素的清单，供医疗机构在协商管理式医疗合同时参考。合同条款的协商至少与按人头支付费率或收费表同样重要。随着医疗保险健康维护组织风险计划的出现，患者选择的最后堡垒正在被侵蚀。如今，医疗机构几乎要与每个计划协商费用和条款。所有医疗机构都有必要熟知管理式医疗合同协商的复杂细节。
