06.24.07

Preparing a Case for Provider Reimbursement - A Due Diligence Checklist

Posted in Uncategorized at 3:21 am by heaven

Excerpt: "The law governing health care provider reimbursements, assignments, and managed care agreements continues to present one of the most dynamic topics in the ERISA field. A number of the issues raised in recent controversies may be usefully summarized in a topical list." (Health Plan Law blog by Attorney Roy F. Harmon III)

06.09.07

Selecting Best Managed Care Network: Comparing Discounts & Predicting Employee Satisfaction (PDF)

Posted in Uncategorized at 12:41 pm by heaven

4 pages. Excerpt: "There are meaningful differences in the economic value of managed care networks in different geographic areas, and even within the same metropolitan areas. Being able to quantify the differences and seeing how your claims costs would be impacted under different networks is a logical initial step in selecting which carriers to consider." (Aon Consulting)

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