Uncharted Waters: Managed Care and Long Term Care Provider Contracts
30 Journal of Health and Hospital Law 179, Fall 1997
16 Pages Posted: 13 Feb 2014
Date Written: 1997
Abstract
This article presents an overview of the contracting issues critical to long term care providers and managed care organizations. It describes the special characteristics of managed care that affect long term care. The article then addresses the major areas of potential concern to long term care providers -- including risk, covered services, relationship of the parties, utilizaion review and fraud and abuse. Finally, the article concludes that, despite inevitable growing pains, long term care and managed care will necessarily become partners in this era of cost consciousness.
Keywords: managed care, long term care, reimbursement, regulation, negotiation, risk, covered services, utilization review, fraud, abuse
JEL Classification: H51, I11, I28, K12 ,K23, K20, K29, K32
Suggested Citation: Suggested Citation