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Hospital Contracts – The Critical Elements Of Financial Performance Modelings

 

Thursday, April 23rd, 2009
1:00 - 2:15PM Eastern
http://www.healthwebsummit.com/ecg042309.htm
 
 

  OVERVIEW

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.

  LEARNING OBJECTIVES

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
 

WHO SHOULD ATTEND

  • Hospital Executives and managers responsible for negotiating MCO agreements
  • Health Plan Executives and managers responsible for negotiating hospital agreements

    PRICING

Individual Registration Fee: $225.  Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event.
  • Individual registration fee covers a single phone line

  • Multiple persons may listen via speaker phone with individual registration fee 

  • Each individual registrant receives a unique dial-in ID which may not be shared 

  • Corporate pricing is available when registrations are desired for more than one phone line. For details, visit: http://www.healthwebsummit.com/corprice.htm

    4 EASY WAYS TO REGISTER

4 Easy Ways to Register:
2. Call: 209.577.4888.
3. Fax: Click here or go to: https://www.managedcarestore.com/hwsorder.pdf and fax your registration to the HealthWebSummit office at: 209.577.3557
4. Mail: Click here or go to: https://www.managedcarestore.com/hwsorder.pdf and mail the Registration Form to the HealthWebSummit Office at:
HealthWebSummit Office
1101 Standiford Avenue, Suite C-3
Modesto, CA 95350
Healthcare Web Summit Events: Audio conferences, webinars and multi feature web summit learning events for health management professionals Experience e-learning, gain market intelligence, identify solutions, interact with faculty, network and share experiences with attendees, gather data resources and more, and do it all in a web event or audio conference without having to leave your home or office, or having to adjust your schedule.
Join our LinkedIn Healthcare Web Summit Group!

Keep current on Healthcare Web Summit events and network and discuss topics with attendees, faculty and other interested parties.

Join us at: http://www.linkedin.com/groups?gid=1469667  

 
 

 


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