There are several key elements required in a health care provider's contract with a managed care organization (MCO). A typical contract between an MCO and a physician contains definitions, terms, obligations, and other features of payer-provider agreements. Terms and clauses are not expected to be changed, while payment terms that can be renegotiated should be placed in appendices. For this assignment, you are taking on the role of a provider relations manager at Allianta insurance company. You have an appointment with the practice administrator and physician leader at Ashford Medical Group (AMG), which is a multispecialty practice with 10 health care providers. Currently, AMG is not a participating provider at Allianta. The goal of this appointment is to recruit AMG to be an in-the-network provider at Allianta.

1. Using your own words, Identify the justifications for health care providers to contract with Allianta? Please cite scholarly source/reference below. (Some examples for both payer and providers are to "Provide members with access to appropriate medical services and meet access standards required by states and by Medicare Gain business as payers steer members towards contracted providers Obtain favorable pricing, meaning less than full charges* Avoid losing business as payers steer members away from non-contracted (out-of-network) providers Define the types of clinical services the provider will provide to plan members".)

2. Using your own words, Discuss the credentialing process? Please cite scholarly source/reference below.