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HEA409 - Essay Example

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HEA409

In estimating the contract format, contributors must provide acceptable considerations to the business, objectives, abilities to handle the assignment, expenses, economic requirements, as well as, the potential value of the contract with managed care contract (Paul & Kylanne 169). These terms exist in the contract in the estimation of the contract period, as well as, extinction clauses. Prior to the agreement to nay condition or extinction stipulations, it is best and vital for the contributor to contain a wide perspective and determination of adding up the provisions that will accurately address the requirements of both the management care contracting and the contributor. The purpose is to establish the most suitable and enduring association. Contract Term All available contracts recognize a certain contract term. The contract term involves an episode of time for the period of which the contract exists and followed to the letter. In general, managed care contracts may be written with a starting period of time that is estimated to be one year maximum. This is usually to foresee the terms that contribute for an automatic reintroduction of the contract except when one group sees a certain number of days that may be foreseen to end in the annual period. Contributors should always be considerate of automatic revival provisions, as well as, their benefits and non benefits. Automatic revival provisions may arrange the stage for a wide period association that requires less control effort from the parties at the same time as providing the parties litheness to renegotiate conditions if possible and required. The risk for the contributor is that prior to the provisions, the workload is on the contributor to start a rate boost dialogue. Prior to similar conditions, the managed care contract may utilize its time in dialoging a rate boost for the after that terms of conditions and agreement. Form this, Contributors can search their benefits into a fresh contract period of time before a fresh economic term can be articulated and implemented; this is to formulate a substantial control, as well as, financial workload for the contributor (Clancy 919). Several annual contracts can be suitable alternative due to the potential lock in the contributor’s market share for a considerable period of time, as well as, make certain predictable income source. On the other hand, such agreements also constitute additional economic risks. Initially, prior to inward bound into such agreed conditions, the contributor must come into conclusion whether it will be possible to add protection adjacent to the prospect adverse economic situations. To contribute the appropriate protection, a contributor can involve an escalator clause for the level increase at suitable periods. If the starting assumptions on the contract may be founded prove imprecise, an example is when the projections for application per a thousand or any other expense assumptions can be off the condition, the escalator constructed into the contract may also experience less assumptions. Another chance to an escalator clause is for the contributor to try and dialogue the risk channels that contribute additional revenue cover up. Nevertheless, payers mainly wish that the compensation ratio constantly be equal during the provided period of time, this due to the best interest of the contributor. Furthermore, in the present dialogue ...Show more

Summary

Name: Instructor: Course: Date: Contract Terms that are Commonly found in a Managed Care Contract Managed care associations can be defined by the contract that formulates the foundation laws and regulations, as well as, parameters under the provider conditions and the administration Care Corporation that may operate…
Author : rbergstrom
HEA409 essay example
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