MMHS has the demonstrated managed care contracting experience to identify, and evaluate managed care payer, and institutional provider issues. Solutions are communicated in a logical format that avoids future conflicts and resolves outstanding disputes in a financially sound manor.
Prospective payment in the form of capitation
or episode payment, requires extreme attention to detail in initial planning or dispute resolution negotiations, due to the subtle complexities of tracking and management of IBNR risk.
As with managed care generally, avoiding or correcting contract inequities is integral to avoiding poor financial performance.