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MCIC Press Release

May 11, 2009

Managed Care Payor-Provider Contracting to be Subject of New Audio Webcast
May 21, 2009 At 1:30 PM EDT

MANASQUAN, NJ --  May 11, 2009: Critical issues and challenges in managed care payor-provider contracting will be the focus of a new audio webcast scheduled Thursday, May 21.

Both health insurance plan payors and healthcare providers have much at stake in the next round of contracting negotiations.

For healthcare providers, managed care contracts are one of the most important drivers of a healthcare organization’s financial reimbursement, cash flow and profitability.

Developing strategic contracting language can dramatically improve providers’ revenue stream. But failing to clarify certain payment terms could also lead to long-term financial problems. Payors have much at stake in today’s challenging economic environment.

It is even more important to know the latest strategies to effectively negotiate managed care contracts to maximize revenue in today’s global turmoil.

There are new legal, contractual, and financial risks in today’s managed care environment that must be taken into consideration during the negotiation process. The presenters at this webcast will identify how to recognize contract issues before they become compliance problems!

The speakers are Russell Foster, Principal with the pmpm® Consulting Group, Gregory Pepe, Principal with Neubert, Pepe & Monteith and Heather Burke, the President of Healthcare Provider Connections LLC.

For complete details visit http://www.healthresourcesonline.com/edu/mcc09.htm


  • New directions in managed care contracting
  • Overview of the changes in contracting activity
  • Newest trends in contracting
  • The payor-provider negotiation climate
  • Techniques to set up quality incentives
  • How the stimulus plan affects contracting
  • How to increase reimbursement
  • Introduction of the newest breed of MC provider plans
  • New methods Medicare advantage plans are using to remain competitive
  • How to find quality providers
  • Payor contract evaluation and management methods
  • Conducting contract discussions involving pay-for-performance and quality-based reimbursement programs
  • Understanding the challenges in enhancing contract performance
  • The ‘fine’ print negotiating the “No’s” in managed care agreements
  • Reimbursement and contract issues in negotiations
  • The importance of contractual provisions
    • Risk shifting
    • Authorizations
    • Claims denials
  • Live Question and Answer session

For complete details visit http://www.healthresourcesonline.com/edu/mcc09.htm

Address: The Managed Care Information Center, 1913 Atlantic Ave., Ste. 200, Manasquan, NJ 08736; (732) 292-1100, www.themcic.com.