Andrea Woodell is managed care manager for Regent Surgical Health. There are several steps necessary to ensure a profitable transition from an independent ambulatory surgery center to a partnership ...

Early managed care prioritized coordinated primary care “gatekeeping,” selective contracting, utilization/quality controls, ...

Here are seven best practices from managed care contracting experts to help you get paid fairly by third-party payors. 1. Give yourself ample time to negotiate a contract. To convince a payor that you ...

Workforce shortages, regulatory complexities and economic challenges have put hospitals and health systems under immense pressure to improve operational efficiency, accelerate payments and reduce ...

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...

Explore how network integrity enhances managed care strategies, driving value-based care success and improving patient outcomes in health systems. According to a 2025 survey of 142 health care ...