After the mandatory enrollment period ends, what can be done to prevent managed care organizations from contracting with one agency and not wanting smaller organizations' continued participation?
Smaller agencies will have a harder time getting noticed. The health plans will get calls every day from providers asking to be contracted. If you have board members who have contacts use them. Be the friendly nag about getting in to see the managed care organization, meet them whenever they have the time, -- whatever you need to do to get in the door and get that first contract. Getting that first contract is key because then you can use that as leverage with other managed care organizations. Secondly, smaller agencies can pull together as a collaborative and approach the managed care organization and say here is our full array of services with all these agencies and we're looking for one contract.