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Strategies for HIV Medical Providers Contracting with Health Insurers

Strategies for HIV Medical Providers Contracting with Health Insurers

September 2013
HIVMA

Description

Guide outlines steps for contracting with health insurance plans andn managed care organizations.

Steps outlined:

  1. Check with Your Institution Regarding Their Health Plan Contracting Process
  2. Identify Opportunities in Private and Public Health Insurance
  3. Gather Information About Insurers
  4. Assess Insurer’s Track Record
  5. Understand How Insurers Will Pay for Services
  6. Evaluate Adequacy of Payment Based on Actual Costs
  7. Contract with Public and Private Insurers
  8. Assess Payoffs and Pitfalls

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