Provider Contracts

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  300 words. Support your response with a minimum of twocredible sources that were published in the last five years.

Book: Kongstvedt, P. R. (2012). Essentials of managed health care (6th ed.). Sudbury, MA: Jones and Bartlett Publishers

 

 

 

 

preview of the answer..

Contract is a legal document that is mutually binding on parties’ signatory to it. When contracting a provider several issues arise between the provider, carrier and the payment. One of such issues that is common during the contracting process is the all-product clauses included in the contract. The provision of the contract requires the provider to participate in all of a carrier’s products. These clauses are created by carriers to reduce the administrative burden associated with issuing new contracts and amendments for providers in its network for all new products and …

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