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Hospital Contracts
– The Critical Elements Of Financial Performance
Modelings |
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Thursday, April 23rd, 2009
1:00 - 2:15PM Eastern
http://www.healthwebsummit.com/ecg042309.htm
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OVERVIEW |
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| Hospitals and managed care
organizations (MCOs) are taking a more collaborative approach to ensure
that their negotiated terms produce the financial results that they
expect. In the recent past, hospital and MCO agreements have included
significant changes in payment methodologies as the parties move toward
episode based reimbursement terms. In order to successfully negotiate a
new agreement, both parties must understand the impact of the proposed
financial terms. This typically involves applying the proposed contract
payment methodology and terms to historic claims data and comparing the
projected payments to the current reimbursement. While the concept is
simple in nature, in practice the complexities of hospital billing
result in significant differences between data sets used by the health
plan and the hospital.
Failure to appreciate the intricacies
and subtle differences between the data sets can result in unintentional
but material misrepresentations of the financial impacts of a proposed
agreement. When these problems are uncovered, they complicate
negotiations by inserting a measure of mistrust. Recognizing these risks
and planning for appropriate data reconciliation thus becomes an
important part of negotiating agreements between MCOs and hospitals. |
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LEARNING OBJECTIVES |
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Through the use of a case study from an
actual negotiation between a large Midwest hospital and MCO,
participants will gain an understanding of the following:
- The critical elements of modeling
a hospital agreement
- Common issues that can misstate
charges or modeled reimbursement
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PRICING |
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Individual Registration Fee: $225. Audio Conference CD-ROM: $40
for attendees; $285 for non-attendees after the event.
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Individual
registration fee covers a single phone line
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Multiple
persons may listen via speaker phone with individual
registration fee
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Each
individual registrant receives a unique dial-in ID which may not
be shared
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Corporate
pricing is available when registrations are desired for more
than one phone line. For details, visit:
http://www.healthwebsummit.com/corprice.htm
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4 EASY WAYS TO REGISTER |
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- 2. Call:
209.577.4888.
HealthWebSummit Office
1101 Standiford Avenue, Suite C-3
Modesto, CA 95350
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Audio conferences, webinars and multi feature web summit
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web event or audio conference without having to leave your home
or office, or having to adjust your schedule.
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Healthcare Web Summit Group!
Keep current
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Join us at:
http://www.linkedin.com/groups?gid=1469667 |
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