Managed Care Contracts

Healthcare has significantly changed in the past few years, drastically changing its landscape. Data Bridge Market Research analyses that the insurance and managed care market which is expected to reach at a healthy CAGR of during the forecast period 2022 to 2029. In England, healthcare costs are shouldered by the National Health Service (NHS), with medical services covering preventive care, inpatient and outpatient services, and maternity care, among others. Despite that, some limitations exist in which services may not be covered and would require out-of-pocket payments.

https://www.databridgemarketresearch.com/reports/global-insurance-and-managed-care-market

As we progress, the population has prioritised healthcare and has become proactive, proven by a spike in demand for managed care services. Not to mention, the COVID-19 pandemic has increased awareness of the importance of healthcare. Managed care services entail routine check-ups, urgent care, and even wellness programs aimed at disease prevention as part of their services. More than ever, comprehensive medical care services at a reasonable cost are now considered a priority by the people. That’s where Managed care organizations or MCOs come in. They offer healthcare services at a reasonable cost without sacrificing quality. They offer healthcare plans that entail a variety of services.

Engaging in managed care contracts is key for a managed care organization to deliver the services within its programs. Managed care contracts often have details outlining rates, services, and documents for compliance necessary for a successful engagement.

MCOs engage in contract with hospitals and clinics and become a mutually beneficial collaboration; as such, contracts ensure that hospitals with clientele receive guaranteed reimbursements for the services rendered. General practitioners are also on the lookout for such contracts. Being included in insurance networks secures them a steady stream of patients. However, they must negotiate managed care contracts to ensure rate agreement.

With the high demand in managed care, looking for contracts that fit your network, value your level of service, and have favourable rates — the process can be quite complex. Here at Healthcare Contacts International (HCI), we are experts in navigating the managed care contracting process. Find managed care contracts, negotiate, and win!

Benefits for Healthcare Providers

HCI helps healthcare providers access managed care contracts that help them gain a competitive advantage in the industry. Here are a couple of ways how we can help you achieve that:

Increased Network Reach

Gain access to a large network where MCOs want to engage in managed care contracts with hospitals and health practitioners to increase their own networks. MCO contracts for healthcare providers to ensure access to practitioners across different specialities, resulting in a comprehensive range of medical services. Moreover, having a robust network of high-quality providers makes the MCO more competitive in the marketplace.

Streamlined Contracting

The process of managed care contracting can be quite complex. From understanding strengths and areas for improvement when negotiating with MCOs, showcasing compliance with regulations, to identifying key performance indicators, all of these are part of the process of searching and securing managed care provider contracts. With HCI, we streamline the contracting process through the help of industry experts and standardized agreements. Be empowered to engage in contracts without worrying about missing a detail.

Better Payment Rates

Managed care contracts and reimbursement go hand in hand. Understand the rates prevalent in the industry and position yourself better by negotiating managed care contracts and leveraging your portfolio of services. By negotiating good rates, healthcare providers can ensure reimbursement for services rendered, reducing uncertainty altogether and keeping healthcare costs affordable for the policyholders. Incentives can even be implemented when negotiating for managed care contracts.

Save Time and Money

Let us handle the work of managing contracts. Staying in the know with the latest contracts, managing the paperwork, and even interpreting data can be difficult. Let us do all the legwork to save you time and energy and enable you to focus on what you do best. With the help of ourOpportunity Search feature, we get to see relevant contracts with precision.

Benefits for MCOs

A managed care organization has a lot on its plate, and the struggle of finding healthcare providers to engage in a managed care contract can add to that when it doesn’t have to! Here’s how HCI can benefit MCOs in their contract-hunting journey:

Vetted Provider Network

Connect with a large network of healthcare providers and practitioners from different geographical areas and specialities. Guaranteed practitioners who are licensed experts, compliant with regulations and practices, and can deliver quality patient care. With a trusted provider network, policyholders are sure to utilise services and renew!

Cost-effective Care Delivery

Engage in contracts that ensure the delivery of medical services at reasonable costs without sacrificing quality. MCOs can negotiate their managed care contract to include fixed payment rates crucial for operational and fiscal planning and benefit from financial incentives, such as shared savings or reduced penalties. Overall, this promotes comprehensive, cost-effective health care.

Better Quality of Care

Find doctors who prioritize patient benefits and patient happiness, backed by high-performance metrics, strict regulatory compliance, and an overall commitment to high-quality standards. Quality assurance plays a role in mutually beneficial collaboration when it comes to a managed care contract.

Streamline Managed Care Contracting

Be empowered to engage in a managed care contract through expert guidance from HCI in managing and optimizing contracts. Have access to information to justify pricing, set performance benchmarks, and establish favourable contract conditions. Gain insight into services that are in demand, identify gaps, and better position yourselves in securing contracts with providers that align with your organizational capabilities.

Stay HCI’s Managed Care Contract Services

Get help from experts, such as HCI, with healthcare contract management. We know how to manage and make the most of contracts, cutting administrative costs and improving working efficiency. With various tools, data, and resources available at your disposal, moving forward with your contract-hunting process becomes easier. Here’s what we can offer:

Contract Search and Analysis

HCI gives health care providers access to many useful managed care contract options, allowing them to find contracts that fit their capabilities and suit their needs. With key procurement decision-makers at the forefront, connecting with the right people and finding the right contracts has never been easier.

Assistance with Contract Negotiation and Bidding

Our track record of numerous customers who have found success in different sectors within healthcare tenders allows us to establish favourable contract conditions. Complimented by leveraging data on various metrics such as utilisation, cost patterns, and the patient care outcomes. We provide expert advice, and advanced tools to help you win your managed care contract of choice.

Compliance Management

Compliance with regulatory requirements is absolutely crucial within the healthcare industry. Keep up with regulations and changes and ensure your managed care contract is compliant. This will lower the risk of compliance problems, such as penalties, and ensure the security of top-managed care contracts.

Performance Monitoring and Reporting

Monitor key data such as patient satisfactions, service utilisation, and even financial outcomes and ensure your managed care contract provides your expected value. This will help you make smart choices against competitors, identify gaps in services, and highlight key services in demand. Get rid of uncertainty and have the chance to position yourself strategically.

In Conclusion

Managed care contracts play a significant role within the healthcare landscape. By understanding the complexities of the process of searching for managed care contracts, various parties benefit. Healthcare providers can get better terms, simplify operations, and improve their business’s performance. MCOs can expand their portfolio of services by having a large network and ensuring quality care at a reasonable cost. Definitely, a win-win situation.

Achieve this by partnering with Health Contracts International (HCI) and acquiring access to a large managed care contract database. Join HCI in revolutionizing healthcare.