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Diane Publishing Books
Legal Issues Associated with Development & Implementation of Provider-Sponsored Managed Care Organizations
Anne M. Murphy (au); Heather L. Fields (au). In an era of change in our Nationís health care delivery system, substance abuse service (SAS) & mental health providers (MHP) must reconfigure their organizational structures & operations to accommodate managed care (MC) methodologies. This report summarizes the legal issues that SAS & MHP must address when organizing provider-sponsored MC org. (MCOs) & when implementing MC programs through contract negotiation & the delivery of services & care through provider contracts. It furnishes SAS providers, MHP, & provider-sponsored network/MCOs with an overview of pertinent legal, structural, & operational considerations.
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