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- W160905909 abstract "A health plan’s most valuable resource is its provider network, but many organizations struggle in building and maintaining provider relations, and, more specifically, in recruiting and retaining providers. This is particularly true in Medicaid managed care, where historically low reimbursement rates have made recruiting a challenge, particularly for specialty providers. To identify barriers and solutions, the Association for Community Affiliated Plans (ACAP) conducted a study of its member plans in the spring of 2004, selecting four plans for in-depth case studies. The plans stressed the importance of two complementary approaches: sustaining relationships with providers through regular and meaningful communications and introducing technology applications to facilitate process improvement. Specifically, ACAP plan leaders experienced the greatest success in improving provider relations in the following five areas: 1) payment practices, incentives, and financial assistance; 2) utilization management; 3) communications and provider outreach; 4) practices to simplify administrative burdens; and 5) enabling services. Support for this research was provided by The Commonwealth Fund. The views presented here are those of the author and not necessarily of The Commonwealth Fund or its directors, officers, or staff. Additional copies of this and other Commonwealth Fund publications are available online at www.cmwf.org. To learn more about new Fund publications when they appear, visit the Fund’s Web site and register to receive e-mail alerts. Commonwealth Fund pub. no. 852." @default.
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- W160905909 date "2005-08-01" @default.
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- W160905909 title "Best Practices in Specialty Provider Recruitment and Retention: Challenges and Solutions" @default.
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