A checklist for providers considering cash pay discounts for payment in full on the day of service might conflict with the payor contracts....Continue reading
Where Can I find Managed Care Contract Negotiation Training?
Maria Todd, author of "The Managed Care Contracting Handbook" is the USA expert who offers Master Classes for working healthcare industry professionals...Continue reading
Managing Managed Care Contract Renewals
Why is the process of renewing and renegotiating #managedcare #contracts still such a challenge for providers? Are they not utilizing the tools properly? Are they not adding the contracts into their systems properly? Do the tools have some necessary features missing? Is there some other reason?...Continue reading
What’s the difference between “best efforts” and “reasonable commercial efforts”?
This morning, as I was contemplating what to write about for today’s article, I received an email from a client who red lined an offer from a health plan for the new Medicaid Managed Care initiative in Illinois. It seems the payer did not want to accept...Continue reading
#AskMariaTodd: The Proliferation Trajectory of Community-based, Freestanding Emergency Departments
Recently, I’ve been taking calls from venture capital investment funds and bankers curious about my impression and experience with community-based freestanding emergency departments. Most of the questions are similar: Why this, why now, what’s next, hurdles and obstacles? They also want to know if I can share any...Continue reading