This 301 level session aims to provide organizations that have limited managed care contracting resources with the tools to effectively evaluate MCO contracts from a financial and operational perspective.

Partners will gain the skills to work with MCOs to develop a value-based contract that the organization can best support.

Learning Objectives:

Gain the skills to work with MCOs to develop a value-based contract that the organization can best support by understanding:

* The differences between various risk-based arrangements

* Potential contractual relationships between healthcare providers, ACOs/CINs/IPAs, and MCOs

* Key elements of risk-based arrangements that can be negotiated with the MCOs

* When it may be beneficial to deviate from the state guidelines for risk-based arrangements

* Best practices for negotiations