As your Managed Care Department

Managed Care Partners will …

 

  • Evaluate new payer arrangements as they are presented to you.
  • Negotiate terms with those payers with whom you wish to have a contract.
  • Calculate the financial impact of payer offers; suggest counteroffers.
  • Review your current managed care agreements; prepare and maintain a written summary of each.
  • Compare reimbursement terms of your various contracts.
  • Make recommendations concerning changes in payer agreements.
  • Handle day-to-day communications with payers and renewal negotiations on existing contracts.
  • Work with you to establish direct contracts with local self-funded employers.
  • Assist your staff in auditing payers’ remittances and compliance with contract terms.
  • Assist in establishing physician practice fee schedules.
  • Assist in credentialing and qualifying practitioners for participation in payer networks.
  • Evaluate and negotiate risk contracts and bundled service arrangements.
  • Conduct programs on managed care and related topics for physicians, staff, board members and the community.
  • Perform other assignments related to managed care as requested by you.

Managed Care Partners, Inc.

875 N. Addison Avenue

Suite 200

Elmhurst, IL 60126

630.936.4211 – phone

630.617.4222 – fax

Additional locations:

Beaufort, SC

Galesburg, IL

Galva, IL