”
Managed Care Organization (MCO) Team Project “Contracts Review” You
are the new CFO, of UMUC Medical Center, a 120 multi-skilled level
three (3) healthcare facility. You have summoned a team of healthcare
and business experts to assist with the process of contract negotiating.
Based on the federal mandate of the Affordable Care Act (ACA), prepare a
proposal summarizing the team’s final recommendations in preparation
for an upcoming meeting. Devise a proposal that address the following: Propose
(one page) of one year (1) financial analysis as a predictive
measure/tool projecting the financial performance based on the adoption
of the selected health plan and reimbursement model [based on fictitious data and figures] Resources:Decoding Managed Care Contracting: https://www.youtube.com/watch?v=9-j-C6n4t50Successfully Negotiating Managed Care Contracts: http://www.hfma.org/Content.aspx?id=16658Managed Care Answer Guide: http://www.patientadvocate.org/requests/publications/Managed-Care.pdf2013 MC Contract Evaluation Guidelines: http://www.acr.org/~/media/ACR/Documents/PDF/Economics/Managed%20Care/2013_CEGuidelines.pdfAnalyzing Managed Care Contracts: http://www.akrongeneral.org/portal/page/portal/AGMC_PAGEGROUP/practicemanagement/AnylzMgmtCrCntrcts.pdfManaged Care Contracting Toolkit: https://www.glms.org/Content/User/Documents/PPAC/ManagedCareToolkitComplete.docSample Managed Care Contract Template: https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/Office%20Operations/sample_managed_care_contract.pdf