Managed Medicare & Medicaid, Volume IV

Managed care contracting and benchmarking is critical to your organization’s success, whether you’re a provider or work for a plan. But as you’re well aware, these are particularly challenging tasks under Medicare and Medicaid, and you need the best tools you can find to help you succeed.

Completely updated and back by popular demand

HCPro is pleased to present Managed Medicare & Medicaid, Volume IV. This fully updated and completely revised resource presents the very latest data you need to establish the most advantageous contracts and benchmark against other organizations.

Vital utilization data included

This book is jam-packed with hundreds of critical PMPM rate, cost, and utilization benchmarks—plus detailed case studies of profitable programs—to help your organization develop a more coordinated, strategic approach to public sector contracting.

Tools for navigating the pitfalls of managed care

More than 100 reference charts, worksheets, and other useful data give you the real-world tools you need to negotiate and profitably manage Medicare and Medicaid risk contracts. Here’s a brief outline of what you get:

• Classic case studies of profitable Medicare and Medicaid plans and providers, who share the intimate details of their programs and offer invaluable advice on achieving their best practices
• Benchmark PMPM rates, costs, and other  hard-to-find data on dozens of specialties
• Utilization rates to help you benchmark your organization against other Medicare and Medicaid providers
• New topics for 2007: Cost-containment strategies to control spending growth; provider performance incentive programs; aligning incentives under Medicaid; best practices in Medicare coordinated care programs; and hallmarks of excellent pharmacy management, including detailed drug costs by drug and therapy categories

Managed Medicare & Medicaid, Volume IV, is written for:

• Medical directors
• Directors of managed care
• Contracting directors
• QA/UR directors
• Performance improvement directors
• Disease management directors
• Finance directors
• Healthcare consultants
• Practice administrators
• Directors of network development
• State and federal health agency officials

The HCPro 30-Day Money-Back Guarantee

Try Managed Medicare & Medicaid, Volume IV, risk-free for 30 days and if you’re not completely satisfied, just send it back and we’ll give you a full refund—it’s that simple!

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