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PubMed1989

Hospitals must join payer-purchaser negotiations.

Two of the three "P"s--payers and purchasers--have recently begun forming exclusive contract relationships specifically to control healthcare costs. The irony is that the excluded "P," providers, has the most direct influence over the costs of patient care. This article, the fifth in a six-part series on "managing managed care," focuses on ways for hospitals to deal with these employer initiatives.

Arizona↗
PubMed1980

Health Care Financing Administration--Medicare program; intermediary nominations, contracts, evaluations, and notices. Final regulation.

These final regulations establish criteria and standards for evaluating the performance of agencies or organizations serving or desiring to serve as fiscal intermediaries under the Medicare program. They also authorize the Administrator to assign or reassign providers of services to particular intermediaries or to designate a single intermediary to serve a class of providers on a regional or national basis after considering intermediary performance measured against the criteria and standards. Affected providers and intermediaries will be given a notice of assignment or reassignment and intermediaries will be afforded a hearing. The purpose of these regulations is to promote increased efficiency in the administration of the Medicare program.

Insurance↗