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- W1555471764 abstract "In the age of cost containment and predictability, Managed Care Organizations (MCO) have the need to develop specialty networks for high cost services, such as transplantation based on financial and clinical considerations. Over the last 20 years, MCOs have developed national networks in order to decrease and anticipate costs, expand access to services, and improve the quality of care. By establishing and maintaining a network for tertiary or quaternary services, such as transplantation, MCOs direct business to a limited number of providers, which increases volume and demands lower prices. This chapter will discuss the multifaceted issues of managed care contracting for transplantation services and will include (1) How does an organization qualify to participate in a transplant network?; (2) How does a transplant program contract and evaluate their profitability with managed care organizations?; and (3) How does an organization maintain good payor relationships?" @default.
- W1555471764 created "2016-06-24" @default.
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- W1555471764 date "2014-02-14" @default.
- W1555471764 modified "2023-09-25" @default.
- W1555471764 title "Managed Care Contracting" @default.
- W1555471764 doi "https://doi.org/10.1002/9781118391976.ch7" @default.
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