Northern New England Home Care Conference: Managing Managed Care - The Next Generation
So, you've negotiated what you think are fair rates, and secured contracts with all the major players. Think you're all set? Think again! This program, moderated by Kevin Stone, will address the issues and considerations providers face in their managed care payor relations. Sherl Brand was the Director of National Accounts for a national homecare company prior to joining the Home Care Association of NJ> There she was responsible for overall management of company managed care, government and community contracting. Ms. Brand will discuss best practices in managed care contracting, including determining and negotiating rates for special services; protecting your organization from authorization delays and payment denials; responding to the trend towards national contract templates; and a host of operational concerns. healthcare attorney Robin Fisk will discuss provider rights in contracting, explaining where protections may exist in legislation, regulatory provisions, and contract law. Both speakers will address emerging Medicare Advantage Plans and their implications for home health agencies.
Robin's Article
on Limited Benefit Plans featured
An article of Robin's about dealing with limited benefit plans was recently featured in HCPro's Managed Care Contracting and Reimbursement Advisor. A link to the issue (which requires a paid subscription) is: LINK
Robin's Article
on featured in Managed Care Contracting & Reimbursement Advisor
Robin's summary of two recent FLorida decisions was featured in the January, 2007 issue of HCPro's Managed Care Contracting & Reimbursement Advisor. A link to the issue (which requires a paid subscription) is: LINK
Robin will Address Child Health Corporation of America
On May 9th, Robin will be speaking in Buckhead, Georgia at a forum for patient financial services and payor contracting staff of the Child Health Corporation of America. A link to the site is: LINK
Robin edits book on
Managing Relationships with Health Care Payers
Robin was asked to serve as contributing editor for “Beyond the Contract: - Managing Your Relationship with a Health Care Payer.” The book discusses steps a provider can take to manage and improve its relationship with a payer. The book is accompanied by a CD ROM with examples of contract clauses and relevant sample language you can download and customize for your organization, and a multi-page checklist of contract issues. Additional information about the book is HERE or HERE.
