Transitioning to Alternative Payment Models: A Guide to Next-Generation Managed Care Contracting
Book
Non-Member Price$99.00
Member Price$72.00
Package
Non-Member Price$109.00
Member Price$82.00
eBook
Non-Member Price$79.00
Member Price$58.00
Description
This book’s goal is to offer medical practice leadership teams practical guidance on navigating the shift from volume-based to value-based managed care contractual relationships. Medical practices – both independent and affiliated – that understand how their organization can and should position themselves for the future will have a significant advantage over the competition.
Honestly identifying where you are and defining where you want to be begins with developing a clear understanding of national and local market dynamics, identifying potential arrangements within your local market and applying those factors to your organization’s goals. This exercise can ultimately inform your value proposition, which becomes the cornerstone of your managed care contracting strategy.
The book will cover in detail the most common alternative payment models and what your practice should do to prepare for this transition.
Models detailed include:
- Pay for performance
- Bundled payments
- Shared savings
- Capitation
Table of Contents
Chapter 1 IntroductionChapter 2 Triple Aim
Chapter 3 Narrow Networks
Chapter 4 Patient Liability
Chapter 5 Transparency
Chapter 6 Quality Metrics
Chapter 7 Connecting the Dots
Chapter 8 Fee-for-Service
Chapter 9 Pay for Performance
Chapter 10 Bundled Payments
Chapter 11 Shared Savings
Chapter 12 Capitation
Chapter 13 Setting up to Succeed
Chapter 14 Conclusion
Index
Refund Policy
Contact MGMA
Contact the MGMA Service Center for cancellations or refunds.
- Toll-free: 877.275.6462, ext. 1888
- Email: service@mgma.com
Complaint resolution policy
Please contact the MGMA Service Center toll-free at 877.ASK.MGMA (275.6462) for issues or concerns with this book.
Shipping Information
Shipping
Member Pricing:
MGMA members enjoy FREE standard shipping on all purchases. Simply add FREESHIP to the Promo Code field during checkout.
Standard and express shipping options are available to customers.
- Standard shipping $9.50 (5-7 business days)
- Two-day shipping $20.00
- Overnight shipping $25.00 (excludes Saturday delivery)
MGMA can ship internationally for an additional fee. Please call the MGMA Service Center for a shipping quote.
- Toll-free: 877.275.6462, ext. 1888
- Email: service@mgma.com