This seminar examines both business and clinical strategies essential for success in the managed care environment. In order for managed care to work in the long run, all participants (providers, payors and patients) will need to assume greater responsibility in their respective portions of the health care loop. This seminar will examine in detail the business and clinical considerations in forging long term managed care relationships that will be beneficial to all parties.

The business portion of the seminar first deals with analyzing the local environment and the practice to determine the readiness for sudden influx of managed care patients. Once the determination has been made to pursue (or further pursue) managed care contracts, the seminar addresses the essentials of structuring contracts that will be a win-win for all parties. Marketing strategies within the context of the HMO setting will be introduced.

The clinical aspect of the seminar will deal with the management of patients once contracts have been obtained. Optimality of care, resistance to change issues and time-based protocols will be discussed.

Learning Outcomes:

At the completion of this seminar the attendee should be able to: