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ForwardDancing with the Devil: Negotiating Managed Care Contracts
Negotiating contracts with managed care companies is a necessary evil for allergy practices. "Dancing with the Devil: Negotiating Managed Care Contracts," recorded from the 2017 Practice Management Workshop, will show you how to successfully negotiate these contracts using tips from a former managed care negotiator. You’ll learn how to evaluate the positions of both sides and develop the best course of action for your practice.
Target Audience
Allergist/immunologists
Physician assistants
Nurses
Fellows-in-training
Office managers
Coding and billing staff members
Other clinical staff
Learning Objectives
Needs Assessment
All medical practices are forced to negotiate with managed care companies in order to gain access to patient panels. Contract negotiation is not a skill taught in resident or fellowship training, and yet it is necessary to ensure a thriving practice. This session will walk participants through the entire negotiation process from beginning to end and show how to effectively deal with a practice’s managed care relationships.
Upon completion of this activity, participants should be able to:
- Learn how to evaluate both positions in the contract negotiation process
- Describe the importance of a payer fee schedule and master fee schedule for the medical practice and how knowing the payer mix can help in the contract negotiation process
- More fully understand all elements of the negotiation process
Faculty
Ron Howrigon
Fulcrum Strategies, Raleigh, NC
Relevant relationships: None
John Milewski
Colorado Allergy & Asthma, Denver, CO
Relevant relationships: None
Content Reviewers
Samuel Gubernick, DO FAAAAI
Family Allergy, Asthma and Immunology Associates, Largo, FL
Relevant relationships: None
Jon Ramsey, RN
Georgia Asthma Coalition, Albany, GA
Relevant relationships: Genentech: speaker (Xolair); Shire/Baxalta: advisory board
Accreditation Statement
The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation Statement
The American Academy of Allergy, Asthma & Immunology designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CE Designation Statement
The American Academy of Allergy, Asthma, & Immunology (AAAAI) is a Provider, approved by the California Board of Registered Nursing, Provider #10704, for up to 1.50 Contact Hours.
Medium and Method of Physician Participation for an Enduring Activity
Follow these steps to complete the activity:
- Register for the activity.
- Review the CME and Disclosure information.
- Complete all required components.
- Complete the post-test. You must achieve a score of 70% or higher on post-tests to claim credit.
- Complete the activity evaluation.
- Claim your credits. Enter only the number of credits earned based on your participation in the activity.
- Print or save your certificate.
AAAAI Privacy Policy
To verify your participation in educational activities, you may be asked to provide your name, contact information, and/or other descriptors. The AAAAI will not release this information to outside entities. It may be used internally to inform you of other AAAAI educational activities. If you wish to have your information excluded from this process, please contact us at cme@aaaai.org.
Release date
Original release date: August 14, 2017. Valid for credit through August 13, 2018.
Available Credit
- 1.50 AttendanceAttendance credit.
- 1.50 CECE credit.
- 1.50 CMECME credit.