Hospital Contract Management System

The complexity of hospital contracting, generated by the increasing price competitive pressures of the healthcare marketplace, presents a significant challenge to administrators responsible for managing these relationships. As the contracts become more specific, taking into account such critical factors as patient case-mix, managers are challenged with the task to accurately execute, trend, and evaluate these contracts to most benefit their organizations.

To accomplish this, CFOs and contract administrators require key information at their fingertips for timely management and analysis of contract information. Furthermore, insight into competitor costs and utilization provide a significant tactical advantage when in active contract negotiation.

HCA's Hospital Contract Management System (HCMS©) utilizes a powerful relational database to report and analyze hospital contracts. Its three modules offer users instant hospital contract information, thereby facilitating informed decision making in the negotiation/re-negotiation and effective administration of hospital contracts.

Module 1
This module captures, stores, and analyzes customer hospital contract data such as contracted services, rates, and effective dates. The multiple on-screen views and standard reports allow managers to closely monitor each hospital contract. Built-in analysis provides standardized statistical comparisons of multiple hospital contracts across like rate units and service categories. A contract renewal monitor reviews the status of each contract and flags those that are up for renewal.

Module 2
This module integrates Hospital Cost Report Data from the Centers For Medicare & Medicaid Studies (CMS), allowing the comparison of each customer hospital to the cost, revenue and utilization profiles from any hospital in the U.S.

Module 3
This module offers users the ability to model and compare various contract scenarios based on customer actual utilization patterns using rule-based "What If" logic. Managers then apply this new knowledge during the contract negotiating process.

Download a PDF version of the HCMS brochure.  Adobe Acrobat is required.