Negotiating a Managed Care Agreement

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Even the largest managed care company is usually willing to negotiate its participating provider agreements to some extent. Amazingly, however, many physician practices sign the first draft that is presented to them. By doing so, they not only "leave money on the table", but they also permit administrative hassles for their staff to develop that could have been avoided with aggressive negotiation of all managed care agreements. The bigger the managed care company's share of the market, the more important it is to assure a reasonable agreement is reached. Physicians must aggressively protect their rights, through negotiation or risk continuing reductions in their income and increases in workload.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Dennis Hursh, Hursh & Hursh, P.C. | Attorney Advertising

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