Managed Care Institute

The Managed Care Institute of the American Alliance of Healthcare Providers now is offering an on-going, three-day training program in Managed Care Revenue Management in Washington, DC.  This training program is designed to help participants develop a confidential, managed care business plan that achieves desired overall margins.  Course objectives are to achieve more appropriate managed care pricing, improve contract language, and strengthen operational control. 

The Course is designed to achieve all of the following:

1.       Identify current contracts for each major payor, and determine general pricing methodologies and key terms.

2.       Understand the member facility’s relative market position, strengths, weaknesses and leverage points for payor contract negotiations.

3.       Gain a detailed understanding of contract business volumes, financial results and operational issues as input for developing the payor specific negotiating strategy.

4.       Identify contractual terms that do not comply with standards and assess the net revenue impact of significant exceptions.

5.       Develop payor specific contracting strategies that meet facility’s business and net revenue goals.

Course Contents

Day One:

A Macro-Assessment of the Hospital's Position in the Managed Care Industry

A Micro-Assessment for developing payor specific contracting goals and strategies

Day Two:

Contract Pricing and Terms

Negotiation Strategy

Day Three:

Managed Care Business Plan

This Course is designed for only student per session; however, if a second student from the same facility or sister facility may attend.

Course Total for 1 student: $3750

Course Total for 2 students: $4500