; Manage contracts through best practices
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Manage contracts through best practices


Traditionally, best practices have meant the examination and enforcement of preferred legal arrangements. Health plans, however, have begun to identify the need for a new strategic framework of best practices in provider contracting that reaches beyond adherence to preferred legal arrangements. A framework for effective best practices in provider contracting acknowledges such change and coordinates several dependent business activities. This integrated and coordinated effort drives effective governance of provider relationships and an establishment of consistent operating practices. As health plans embark on establishing effective governance criteria as the operating framework for best practices, a contract maturity model offers them a structured paradigm to sequence and stage potentially competing objectives. Any expectations regarding the successful implementation of best-practice management is dependent on recognition of the far-reaching consequences of provider contract management.

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