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The role of contractual arrangements in improving health sector ...

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Jordan<br />

Annex 1<br />

CONTRACT/AGREEMENT ASSESSMENT TOOL<br />

Name <strong>of</strong> organization/hospital:<br />

Date <strong>of</strong> contract:<br />

Duration <strong>of</strong> the contract:<br />

Reason <strong>of</strong> contract<strong>in</strong>g (from both sides’ perspectives):<br />

Persons eligible:<br />

Services covered by the contract/services not covered:<br />

Patients’ referral system:<br />

Method <strong>of</strong> reimbursement (i.e. fee-for-service, per capita, etc….)<br />

Co-payment (if any):<br />

Claims and f<strong>in</strong>ancial reviews:<br />

Quality control methods (if any):<br />

Types <strong>of</strong> disputes:<br />

Ways <strong>of</strong> handl<strong>in</strong>g disputes:<br />

Contract amendments (if any):<br />

Information provided to beneficiaries about terms and benefits <strong>of</strong> the contract:<br />

Strengths (from both sides’ perspectives):<br />

Weaknesses (from both sides’ perspectives):<br />

Suggestions to improve the contract:<br />

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