Developing A Managed Care Business Plan

With valuable insights from consultants who build physician networks and the financers who fund them and analyze successful business plans, this reference helps physicians meet the challenges of corporate medicine today. Developing a Managed Care Business Plan is a practical, easy-to-understand guide that provides real-world information and is essential for any physician launching a new managed care venture or expanding or redefining an existing practice.

Making Managed Healthcare Work is your comprehensive guide to developing and implementing a new strategic approach to managed care that's practical, performance-based, and results-oriented. Learn how to prepare for, identify, pursue, negotiate and implement a new type of managed care arrangement that can accomplish the objective of delivering quality care at competitive prices.

The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.

How does a medical practice thrive in a business environment where the margin of management error has all but disappeared? Profit margins are being squeezed by declining reimbursement rates, capitation plans, gamesmanship on the part of the payors, and increasing operating costs. Addressing the specific needs of today‘s medical practice, Medical Pr

Broad changes in the methods of paying for health care services have led to vast changes in the practice of medicine. This book provides the basic tools, including checklists, sample contracts, and key terms a physician needs to take charge of his or her future in the evolving health care system. It explains models and concepts that are available from market to market. More important, this book provides numerous tested strategies for responding to opportunities and the basic principles and means by which to judge situations and proposals. It will guide today's physicians through the managed care maze as they develop business plans and negotiate contracts. * Helps you take and maintain control over patient care by maximizing your autonomy. * Outlines differences in practice type and summarizes the pros and cons of your various options within the managed care environment. * Uses real-life examples throughout, discussing both successes and failures of other entrepreneurial physicians.

Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer

Making Managed Care Work explores the success factors necessary to win in the managed care arena. This practical guide goes beyond cookie-cutter solutions to offer pragmatic ideas and innovative answers. It presents you with the tools you need to develop a multi-faceted strategy that can address immediate financial tensions while also aligning future goals with current objectives. Making Managed Care Work focuses on the critical dimensions of managed care: business development, integrated delivery network design and new-product/service-line definitions. Reading this resource will provide you with the means to organize your strategy and put your goals in focus. It features methodologies - rules to follow when conducting internal diagnosis and evaluating the financial impact of current business strategies; a matrix - to assist in identifying indicators of marketplace change; and case studies - in-depth descriptions of strategies, infrastructures and accomplishments of providers successfully making the leap to the next generation of healthcare, as well as the faulty rationale, hazards and unseen market forces that have hindered failing providers. You must make decisions regarding acute situations where past experience will not give you the answers for the present or future. Making Managed Care Work provides you with researched, intelligent and valuable information that you can use immediately to strategically position yourself on top.

A straightforward and practical guidebook, Fundamentals of Strategic Planning for Healthcare Organizations explores the basic principles of planning and maps out key routes for expanding companies in need of specific decision-making procedures. This allows readers to generate their own ideas for developing strategic plans tailored to the individual needs of their companies. The worksheets, client surveys, and other comprehensive planning documents the book provides from actual healthcare organizations are valuable aids to this developmental stage. Fundamentals of Strategic Planning for Healthcare Organizations points the way to implementing a reliable structural framework for effective strategic health care planning. It advocates methods and models that are at once practical and theoretically sound. Presenting each step necessary to the development of a competent strategic plan, this book enables managers in small and large healthcare organizations to maximize performance in any kind of environment. It keeps astride the developments in a rapidly changing industry as it moves beyond strategic plan development to plan implementation, plan evaluation, and plan control. The book's step-by-step approach facilitates systematic analysis of healthcare delivery models and the roles of marketing, communications, and internal and external factors in the planning process. For motivated self-starters striving to steer the course of their organizations in a rapidly changing industry, the book's presentation of the following topics will be beneficial: situation analysis performance objectives setting mission definition strategy selection operational plans development plan management Fundamentals of Strategic Planning for Healthcare Organizations illustrates the practical elements of strategic planning and considers the logic behind them. By doing so, this book acts as both a primer for the novice and a reference source for managers with more experience. Readers will find themselves turning to it again and again for its practical, "hands-on" advice.