When a state decides to convert to Managed Medicaid many payers race to respond to the Request for Proposal (RFP) process with, among other things, a budget proposal that includes a list of providers formally committed with a Letter of Intent. Watch your step. This letter could be the beginning of a financially irresponsible relationship.
From actual case studies, learn what happened to providers ignorant to the fact that these budget proposals include many undisclosed assumptions about the risks and responsibilities each provider will accept, as well as the amount providers will be compensated. On the flipside, learn the superlative results of those who followed a few simple tried-and-true methods to ensure better contract performance and payer behavior from the onset of the relationship.
Checklists and model Letter of Intent will be provided.
About the Presenter
Maria Todd is a consultant, speaker, author and health care industry thought leader. With more than 30 years in health care and combined health plan, clinical, health administration and health law paralegal and mediation professional work experience, Maria Todd is a veritable tour de force when it comes to managed care and contracted reimbursement training. She has trained more than 53,000 students and seminar participants in over 2600 seminars, lectures and webinars since 1989. She has taught the 2-day Managed Care Contracting classes for the past 12 years for the HFMA and currently teaches contracting, integration and accreditation-related subject matter around the world for domestic and international healthcare providers seeking to establish contracted relationships with US and other Health Plans, Government Ministries and Employers.
Dr Todd is an Advanced Member of the Healthcare Financial Management Association (HFMA). She has been named an HFMA Distinguished Speaker for every year that she has presented, and is a 2006 recipient of HFMA's Muncie Gold Award. She serves on the Editorial Board of HCPro's Managed Care & Contracted Reimbursement Advisor and has hundreds of journal articles, interviews and white papers to her credit. She is the author of The Managed Care Contracting Handbook (1996), IPA, PHO, MSO Development Strategies (1997), the Physician Employment Contract Handbook (1999), and is about to release 2nd Editions of each of these titles with Taylor and Francis in 2009, as well as new titles on Global Health Care Program Development and The Medical Tourism Facilitator's Handbook, slated for release in 2009.
Maria is an active member of HFMA, MGMA and the American Society of Training and Development.
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