Week 2 Discussion 2 Provider Contracts

Week 2 Discussion 2 Provider Contracts

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In preparing for this discussion, read Chapters 4 and 6 of the course text. For your initial post, address the following in the discussion forum:

·  Discuss common issues in the contracting process.,

·  Describe four provider obligations commonly included in managed care contracts.,

·  Explain the importance of provider contracts in maintaining a provider network.,

Your initial post should be at least 300 words. Support your response with a minimum of two credible sources that were published in the last five years.

Guided Response: Select two common issues or provider obligations presented by your peers and contrast the differences between your selection and your peers response. Be sure to support your response by citing at least one credible source to validate your assertions. Respond to at least two of your classmatesposts.

What is the purpose of a provider contract? What intentions are enclosed in a provider contract and why is it important to detail party relationships, services, obligations, and objectives? Explain why the “definitions” section of a contract is important and why it should be carefully reviewed or drafted? Detail the repercussions that can result if the definitions section is not carefully drafted. Identify a real life health care case that relates to inadequate/poorly written definitions. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years to support the ideas you express in your posting. Respond to at least two of your classmates’ posts.

Discuss common issues in the contracting process

. The process of contracting is complicated. From establishing relationships to negotiating the to getting the proper approvals, the creation of a single contract can take months if not years. And, because the award phase of the contracting process can be so long and onerous, it is easy to forget that getting the contract signed is the first piece of a massive puzzle. Risk increases in the post-award, management phase of the contract and generally, an agreement that fails to deliver in the first six months of the contract fails to provide overt the life of the contract. Because of the, it is critical that the post-award team is ready and informed. Here are the three most important actions to take to avoid so

Week 2 Discussion 2 Provider Contracts