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publication | ABA Health Law Section

A Practical Guide to Reimbursement in Managed Care

November 2023
Intelligence That Works

JoAnna Younts, Frank Stevens, Steven Hamilton (partner, Reed Smith), and Mackenzie Wallace (partner, Thompson Coburn) coauthored A Practical Guide to Reimbursement in Managed Care. 

This book provides a detailed historical account of Medicare reimbursement and payment approaches used across nearly all provider types, along with a practical discussion of commercial payer contracting and payment strategies. It concludes with a deep dive into legal issues that arise in payer-provider disputes, including the most common issues and case examples.

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