Explain the importance of provider contracts in maintaining a provider network.

Discussion 1

Provider Payments

In preparing for this discussion, read Chapter 5 of the course text. For your initial post, address the following in the discussion forum:

· Explain the pros and cons of four provider payment methods: (a) fee-for-service; (b) capitation; (c) global capitation; and (d) bundled payment.

· Based upon your review on the above payment methods, what is your recommendation for the mainstream of provider payment(s)? Be sure to include a detailed account of the benefits and risks.

DIscussion 2

Provider Contracts

In preparing for this discussion, read Chapters 4 and 6 of the course text. For your initial post, address the following in the discussion forum:

· Discuss common issues in the contracting process.

· Describe four provider obligations commonly included in managed care contracts.

· Explain the importance of provider contracts in maintaining a provider network.