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Curriculum Category: Practice Management
MCO-Physician Contracting and Reimbursement
 
POSTED: July, 2005
 

American Medical Association. Model Managed Care Contract. Fourth Edition, 2005. http://www.ama-assn.org/ama/pub/category/9559.html

Biddinger D. Which managed care contract(s) should you sign?. Medical Group Management Journal. May/June 2001;48(3):56-60, 62.

Boblitz M. Managing prompt insurance payments: a systematic approach to turnaround. Group Practice Journal. May 2005;54(5). http://www.amga.org/Publications/GPJ/Articles/CoverStories/coverStoryMay05_gpj.pdf

Brown C, Reiss J. HMO contracting strategies: protecting the provider's interests. Healthcare Financial Management. April 2000:36-42. Available at Managed Care Online Free/Articles. http://www.mcol.com

Caesar N. Contract talks are like dating: ask those important questions. Managed Care Magazine. June 1999;8(6). http://www.managedcaremag.com/archives/9906/9906.legal.html

Cascardo-Weissman D. Marketing strategies in a competitive managed care environment. Journal of Medical Practice Management. September/October 1999;15(2):84-86.

Finger AL. Want to boost revenue? Mount a collections campaign. Medical Economics. March 19, 2001;78(6):68-70, 73-4. http://www.memag.com/memag/article/articleDetail.jsp?id=119329

Joffe MS. "Legal Issues in Provider Contracting" in Kongstvedt, Peter, Essentials of Managed Health Care. Gaithersburg, MD, Aspen Publishers, 2001 (4th Edition). Chapter 32, pp. 705-742.

Kiel JM. Physician practice reengineering as attributed to managed care contracting. Managed Care Interface. July 2000;13(7):60-2, 75.

Maguire P. How to detect trouble spots in contract negotiations. ACP-ASIM Observer. June 1999. http://www.acponline.org/journals/news/busman.htm

Mayer T. Organizing for effective managed care contracting. Journal of Medical Practice Management. January/February 2001;16(4):194-197.

Moser JW. Managed care contracting by physicians. Journal of Medical Practice Management. July/August 2000:7-8.

Mustard LW. Group practice contracting with managed care: part 1. Journal of Medical Practice Management. May/June 2003;18(6):319-322.

Wehrwein P. Reinsurance and stop-loss coverage: are you on a firm footing? Managed Care Magazine. Feb. 1998;7(2):29ff.
http://www.managedcaremag.com/archives/9802/9802.reinsurance.shtml

Wiley MJ. Dump a health plan? How to decide. Medical Economics. March 22, 2002;79(6). http://www.memag.com/memag/article/articleDetail.jsp?id=117315

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