The Following Statements Are About the Negotiation Process of Provider

question 70

Multiple Choice

The following statements are about the negotiation process of provider contracting. Three of the statements are true and one of the statements is false. Select the answer choice containing the FALSE statement.

• A) While preparing for negotiations, the health plan usually sends the provider an application to join the provider network, a list of credentialing requirements, and a copy of the proposed provider contract, which may or may not include the proposed reimbursement schedule.
• B) In general, the ideal negotiating style for provider contracting is a collaborative approach.
• C) Typically, the health plan and the provider negotiate the reimbursement arrangement between the parties before they negotiate the scope of services and the contract language.
• D) The actual signing of the provider contract typically takes place after negotiations are completed.

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Definitions:

Geodemographic Segmentation

A method of market segmentation that combines demographics with geographic location to identify market segments with similar characteristics and behaviors.

Psychographic Segmentation

A marketing strategy that divides a market based on consumer personality traits, lifestyles, interests, attitudes, and values.

Geographic Segmentation

The division of a market into different geographical units such as countries, states, regions, cities, or neighborhoods, to tailor marketing efforts to local preferences and conditions.

Lifestyle

The interests, opinions, behaviours, and behavioural orientations of an individual, group, or culture.