Blog

With the U.S. unemployment rate hovering at a 50-year low, an increasing number of medical staff services departments, CVOs, payer enrollment departments, and physician practices are short-staffed. Thanks in part to mergers, acquisitions, and ever-changing organizational structures, many departments within the medical staff services industry are running at suboptimal efficiency. Taken together, these phenomena are

The “Introduction to Health Care” textbook (Mitchell & Haroun, p. 502-503) outlines that managed care plans are designed to increase efficiency, cut costs, provide affordable healthcare, ensure quality care, and eliminate waste. In my 20-plus years of reviewing healthcare payer agreements, I have learned to successfully decipher terms and conditions, as well as negotiate on