1a : monarch, kingb : the ruler of a principality or state. 2 : a male member of a royal family; especially : a son of the sovereign. 3 : a nobleman of varying rank and status. 4 : one likened to a prince; especially : a man of high rank or of high standing in his class or profession.
Mechanisms for Payment. Probably the key element of the managed care contract for the provider is the mechanism for payment. The contract should state how, when, and what the provider will be paid. The provider's personnel should understand the claims' forms and processing procedures.
F or some time, states have regulated managedcare organizations to ensure their financialsolvency, including their ability to cover therisk of enrollees. Over the past decade, the natureof statesâ regulation of the managed care industryhas shifted to focus on preserving quality andpatient and provider satisfaction. Asof December 31, 2000, 57 percent of Medicaidrecipients were enrolled in managed care plans. 2 Inaddition, the managed care industry has changed inmany ways. Most managed care organizations nowcontract with a broad panel of physicians, sharerisk, and compete with each other for greatermarket share.