6 Managed Care Contract Questions Regarding Disputes and Legal Remedies

Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask payors these six questions regarding advertising and marketing within managed care contracts during negotiations.

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1.    Are legal remedies clearly defined?

2.    If arbitration is selected, are the procedures properly defined? Are the procedures consistent with the American Arbitration Association’s Standard Rules of Arbitration?

3.    Is cost sharing on arbitration clearly explained?

4.    How binding is the arbitration decision?

5.    Are attorney’s fees and costs addressed?

6.    If litigation is involved, is cost sharing clearly explained?

More Articles on Managed Care Contracts:

4 Managed Care Trends With Health Systems, Surgical Hospitals and ASCs

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