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

Harkins, Malcolm J. and McMillen, Julia, Uncharted Waters: Managed Care and Long Term Care Provider Contracts (1997). 30 Journal of Health and Hospital Law 179, Fall 1997, Available at SSRN: https://ssrn.com/abstract=2394833

Malcolm J. Harkins (Contact Author)

St. Louis University ( email )

School of Law
100 N. Tucker Blvd.
St. Louis, MO 63101-1930
United States
314 977 3998 (Phone)
314 977 3332 (Fax)

Julia McMillen

Independent ( email )

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