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Managed Care 101

Understanding the fundamentals

HMO, PPO, EIEIO

Understanding the acronyms

ERISA & Taft Hartley Plans

Direct contracting with self-insured employers
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Capitation & Risk Sharing

Sharing risk for the costs of healthcare services delivery
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Business Development

Contracted reimbursement for steered volume
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The Business of Managed Care

Contracting Strategy and Negotiation Tactics
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Finding Leverage

Balancing payer and provider needs & objectives

Bundled Payment Strategies

Developing and negotiating case rates