How to Get a Raise from Managed Care Plans and Negotiate Your Contracts

New, updated edition 2022. All medical and healthcare providers need to read this book! Your practice success depends on it. You will learn how Managed Care Plans (MCP's and HMO's) covertly attempt to abuse you and how you can stop their unfair practices immediately. You'll learn how to negotiate, how to investigate them, what to do when care is denied, how to get raises, (yes - and BIG ones!) tricky phrases in your contract to watch out for, and when you shouldn't touch an MCP with a 10-foot pole.

Author Lyn Kelley, Ph.D., LMFT, Certified Professional Coach consults all healthcare providers who deal with managed care. Lyn explains how managed care companies can leave you out to hang (with nothing and no power) if you let them. All managed care contracts can be negotiated (and SHOULD BE!). Learn how you can determine if a plan is good for you and how to negotiate your contract in YOUR FAVOR. More importantly, this book teaches you how to set your fees, stick with your fees, never let managed care decrease your fees or wait more than 30 days to pay your fees, and how to actually get a RAISE in fees! You'll learn how to negotiate, how to investigate them, and what to do when care is denied. Here's what managed care companies don't want you to know:
• Right and wrong methods of managed care contract negotiations
• How to get a raise with this simple letter
• Tricky phrases to watch out for
• How to make a formal complaint with a managed care plan (that gets results!)
• What plans you shouldn't touch "with a 10-foot pole"
• How managed care plans can easily put you out of business
• What to do when care is denied
• How to handle a grievance or dispute
• Why you should never assume unlimited liability
• How to Get Paid Your Full Fee from Private Pay Clients