Problem
One of the hallmarks of managed health care is the existence of a provider network, and this applies now to nearly every form of health insurance and benefits plan as well. A major factor in health plans' success in securing employer contracts is their ability to negotiate favorable terms when contracting with providers and to effectively "manage" provider networks. Provide an understanding of the basics of provider contracting, including the way in which health plans and providers attempt to exert leverage in the contracting process.