Successful negotiations of managed care contracts require being “priced right” and having the “right services” and the “right outcomes.” Using the comprehensive tool developed by the HHFMA Managed Care Task Force, this session will explain costing of services and their price point development, considering all the necessary cost increments that are incorporated to develop a Win-Win proposal that works for both parties! Presentation of successful negotiation proposals and strategies will help guide you in developing approaches and skills for your agency to profitably contract and negotiate with MCOs and ACOs.
Objectives:
- Identify the sources of the necessary financial information and operational statistical data required for completion of the Tool
- Complete the tool and estimate the necessary gross margin for your agency’s proposal to be financially viable;
- Identify those products and services most desired by the MCOs and ACOs that match your agency’s clinical outcomes and HH-CAHPs strength.
- Apply several approaches to proposals and negations that have been successful and could be for your agency.
Faculty: Pat Laff, CPA, Managing Principal, Laff Associates; Joe Calcutt, BS, CFO, Liberty Home Care, LLC; Dawn Michelizzi, BS, Senior Vice President of Finance and CFO, VNA of Greater Philadelphia
Continuing education units are not available for this module