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Integrated HealthCare represents both hospitals and physicians — in academic practice plans, IPA's and private practice — in managed care contract and rate negotiations.
What can IHC do for you?
- Assess current contracts for
- Rates
- Terms and conditions
- Payer performance (e.g., denials, timely payment, payment levels against contract terms)
- Review of current capitation program (if exists)
- New services to be offered
- Pricing of these services
- Negotiating with plans for these new services
- Assess current
- Market conditions
- Competitive factors
- Negotiations with carriers for
- Rates
- Services
- Unbundling/carve outs
- Capitation
- Ancillaries
- Denials (hospital)
- Payer specific issues
- Review Case Management protocols
