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The challenges and pitfalls of a managed care contract

Article Abstract:

Subacute care providers may need to know how to respond to the changes created by a managed care contract and avoid potential dangers. Initially, the main challenges to subacute care providers are deciding which parts of the contract should be communicated to staff, implementing the contract, relating to the managed care organization's decision makers, and getting the most from the contract. Subacute care providers especially need to research payment mechanisms from silent preferred provider organizations.

Author: Stahl, Dulcelina A.
Publisher: Lippincott Williams & Wilkins, WK Health
Publication Name: Nursing Management
Subject: Health
ISSN: 0744-6314
Year: 1996
Contracts, Health insurance industry

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Business ethics: implications for managed care contracts

Article Abstract:

Managed care organizations must consider certain moral principles such as beneficence and utility in their standards of conduct and in negotiating their contracts. For instance, a health facility should not accept a discount so deep that it will be unable to provide care for the very poor. Ethical principles become particularly important in this era of competition and cost-cutting.

Author: Stahl, Dulcelina A.
Publisher: Lippincott Williams & Wilkins, WK Health
Publication Name: Nursing Management
Subject: Health
ISSN: 0744-6314
Year: 1997
Standards, Ethical aspects, Business ethics

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The pulse of managed care in 1996 and beyond

Article Abstract:

Providers of subacute health care must cultivate relations with managed care organizations (MCOs). Merely gaining a contract with an MCO is not sufficient to remain competitive, for the ongoing services must be cost-efficient. Subacute health care providers are especially in danger if health maintenance organizations have a 25% or better market penetration in their service areas.

Author: Stahl, Dulcelina A.
Publisher: Lippincott Williams & Wilkins, WK Health
Publication Name: Nursing Management
Subject: Health
ISSN: 0744-6314
Year: 1996
Economic aspects, Health care industry, Health maintenance organizations

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Subjects list: Managed care plans (Medical care)
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