The Managed Care Contracting Handbook, 2nd Edition: Planning & Negotiating the Managed Care Relationship
Maria Todd is the most gifted managed care negotiation resource I have ever had the pleasure of knowing. Maria’s vast knowledge is as uncommon as it is welcomed to even the playing field between healthcare providers and payors. Those fortunate providers who take the time to participate in her educational sessions or read her books will undoubtedly achieve unparalleled results.— Troy D. Roth, Senior Vice President, Revenue Management Strategy, Accuro, A MedAssets CompanyMaria Todd'sThe Managed Care Contracting Handbookis a must-have book for the non-attorney health care professional negotiating managed care contracts for providers. Dr. Todd combines a thorough discussion of managed care contracting basics with helpful hints and practical tools for contracting with all types of payor organizations all with an easy to comprehend style. Dr. Todd brings what could be very dry material to life.— Ellen E. Stewart, MSHA,JD,FHFMA, Partner, Berenbaum, Weinshienk & Eason, PC Denver, ColoradoMany organizations struggle to optimize their managed care strategies to achieve operational and financial success. Maria Todd's new book could be the missing keystone to achieve that success. This is a must-read for every hospital executive involved in the managed care process - clinical and financial leaders alike. Clearly and concisely, Maria Todd lays out the background of managed care in all its complexity. Most importantly, she offers proven methods for planning, negotiating, executing, and evaluating managed care contracts that will withstand legal and operational challenges. Maria is well known for her knowledge, good judgment, and commitment to the industry, and her newest book should be used as a key part of any healthcare provider's managed care strategy.— David Hammer, MBA, MHS, FHFMA, CHFP, Vice President, Revenue Cycle Solutions McKESSON Provider TechnologiesDr. Todd does a marvelous job at taking the most complex issues of contracting and bringing them down to the level of understanding and simplicity. Using years of real life experiences and making them relevant to our world of contracts is brilliant. It is sad to have Dr. Todd point out how much trouble the insurance industry goes through to make us believe we are getting fair and useful contracts to manage our patients with.— Lawrence M. Preston, MBA, FHFMA, President and CEO, Professional Medical Consultants, Inc.I have utilized Maria Todd’s materials for many of my engagements. She has her finger on the pulse of the managed care industry and is an important resource for my consulting business.—Catherine M. Zito, FHFMA, CPA, Healthcare Financial ConsultantAs a certified managed care professional, Maria Todd has done it again! The 2ndEdition is even better than before. For example, her process for setting case rates is pure genius! Until I read this section, I didn’t fully grasp the ramifications of setting case rates without the requisite level of detail in the contract. In just a single passage, Maria Todd challenged me to dig deeper into an area in which I previously thought I had true expertise. ... this book is a must-read for improving the professional development of everyone dependent upon managing and negotiating accurate and real-world managed care contracts.— David I. Samuels, FHFMA, MPA, 2008-09 President-Elect, HFMA/Nevada Chapter, President, EthiCare Breakthrough Solutions, Inc.The Managed Care Contracting Handbookshould be required reading for ALL hospital managers regardless of the department they manage. The issues and solutions Ms. Todd addresses can mean the difference between barely surviving and successfully thriving for healthcare providers.— Jackie Hodges, President, HRC SolutionsI know I can rely on Ms. Todd to clearly define and simplify complex issues. Not only does it help my understanding, but assists me in conveying complicated issues to others. I have consistently found her recommendations and tools to be practical and useful.— Ed Casteel, Divisional Managed Care Director, Mississippi Division, Health Management Associates