Archive → March, 2011
Just me, Sam Laws, and a Battle of Wits
It is so hard for me to think of my favorite part of Monday night’s property owners’ meeting at the Courthouse. I mean, I know it was some time during the part that former commissioner Sam Laws was standing up and berating me, but what part of that stimulating conversation was the best?
Continue reading →
Evaluating a Managed Care Contract 2
If patients and referral sources are the same under this contract, as in the past, experience should be a reliable guide. But if you will see new patients referred from doctors you don’t know well, you would be wise to seek a modified fee-for-service contract until utilization patterns are apparent. If the plan insists on full risk or nothing, it may be your clue to back away.
Evaluating a Managed Care Contract 1
If capitation makes sense for you, the first order of business is to meet the person at the health plan responsible for oncology disease management. Develop a relationship with the case manager and include the staff member who will serve as your managed care liaison. Don’t be outraged if the case manager does not know their subject as well as you expect! View it as an opportunity to educate and develop a relationship. But file this fact away and weigh it carefully as you decide whether or not to sign the contract.