The scope of this paper encompasses the USA healthcare system contracts of government and private insurance payers to healthcare provider organizations, focusing on larger organizations. The paper provides an overview for practice managers, while providing more detail in the appendices for those practice managers who may be tasked with payer contract negotiation and want to delve more deeply into this complex, evolving topic.
The scope of this paper encompasses the USA healthcare system contracts of government and private insurance payers to healthcare provider organizations, focusing on larger organizations. The paper provides an overview for practice managers, while providing more detail in the appendices for those practice managers who may be tasked with payer contract negotiation and want to delve more deeply into this complex, evolving topic.