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Oh welcome to todays ECG webinar presentation titled contract negotiations and a time of change this discussion will assist your organ understanding innovative reimbursement mechanisms that are developing as a result of health care reform many new reimbursement structures are being developed implemented and evaluated as healthcare moves from payment based on volume to payment based on value we will discuss these structures how volumes to payment based value systems are working and how they can be improved across your organization national trends and payer provider relationships will also be discussed as well as whats expected for the near future lastly we will outline managed care payer strategies that could be part of your next contract negotiation hi Im Terry welter a principal with ECG and Im pleased to be your host for todays webinar before I introduce todays speakers lets go over a few details about the webinar its 60 minutes in length the first 50 minutes of the program w