Managed Care

Managed Care

Medical Management Associates (“MMA”) understands the many interrelationships among managed care, patient care and practice management. We provide our clients with the tools to analyze managed care contracts and to examine the impact of those contracts on the financial health of their practices. MMA’s consultants review and negotiate managed care contracts, calculate capitation rates, develop utilization management /quality improvement programs, design and implement malpractice purchasing groups and advise on risk management and marketing strategies. We organize single and multi-specialty physician networks and manage those networks through our sister company, Medical Network Management, Inc.

 
 

Services provided through Medical Network Management include:

 
 
  • Capitated network administration

  • Precertification and related utilization management services

  • Concurrent review services

  • Patient and Payor Satisfaction surveys

  • Clinical pathway development

  • Risk Management

  • NCQA Compliance

  • HEDIS Reporting

  • UM Initiatives and QI Initiatives

  • Credentialling

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