Deep Expertise
Decades of payer- and provider-side experience across commercial, Medicare Advantage, and Medicaid lines of business.
National managed care advisory
Maximizing Payer & Provider Contracts
We are the nation's leading payer & provider advisory firm.
Helping healthcare organizations secure stronger reimbursement and lasting payer relationships.
12,000+ Contracts negotiated
7–12x Return on investment
12% Average revenue increase
What we do
Full-Spectrum Managed Care Services
End-to-end support across the entire payer lifecycle — from the negotiating table, to transparency data, to disputes.
Payer Negotiations & Strategy
Commercial, Medicare Advantage, and Medicaid agreements negotiated and executed to improve reimbursement.
Explore pillarPayer Negotiations & Relationships
Higher rates and stronger terms across commercial and government contracts.
Contract Modeling & Strategy
Specialty-informed rate modeling and positioning before you sit at the table.
Payer Transparency Data
Proprietary payer intelligence and executive-grade analytics that turn your data into negotiating leverage.
Explore pillarPayer Transparency Insight
Benchmark your rates against real market data to see exactly where you stand.
Claims Data & Analytics
Executive-grade analytics and transaction diligence across your book of business.
Payer & Provider Disputes
Representation through underpayment recovery, arbitration, and No Surprises Act dispute resolution.
Explore pillarDispute Resolution & Arbitration
NSA / IDR strategy and out-of-network support to defend fair reimbursement.
Contract Management & Recovery
Identify, defend, and recover underpayments — the dollars payers got wrong.
Not sure where to start? We’ll map the fastest path to higher reimbursement for your organization.
Why PayrAdvisors
Proven Results for Healthcare Providers
Our experienced team of healthcare payer negotiation specialists has a track record of securing significantly improved contract terms for providers across the nation.
- Average rate increases of 15–30%
- Reduced administrative burden
- Improved cash flow and collections
- Expert handling of complex negotiations
- Long-term payer relationship management
Contracted rates indexed to 100 (prior). Real client outcome.
Trusted by leading healthcare organizations · 250+ clients represented
Our proven model
Our Proven Model for Your Success
A disciplined, repeatable approach behind every payer engagement — from the first benchmark to a signed contract.
01
Understand Your Market Position
We use transparency data to compare your rates to the market by specialty, geography, CPT code, and payer & product type.
02
Identify Your Strengths
Every practice has leverage. We surface yours — quality metrics, access, outcomes, technology, service lines, and patient experience.
03
Build a Go-to-Market Strategy
We tailor your payer strategy, approach the health plans, model every proposal, and track progress at each step.
04
Navigate Complex Negotiations
From routine renegotiation to major escalation, we guide you through terminations, payer pushback, and high-stakes decisions.
Why we outperform
Why Our Model Outperforms
Expertise, relationships, and technology that consistently beat the status quo — on results and on cost.
Strong Industry Connections
Relationships spanning 25,000+ payer contacts open doors and move negotiations faster than going it alone.
Technology-Driven Efficiency
Proprietary transparency data and analytics turn every negotiation into a data-backed case payers cannot dismiss.
Proven Results
12,000+ agreements negotiated at a 99% success rate — and 50–80% lower cost than traditional consultants.
Ready to Discuss Your Payer Contracts?
Schedule a consultation to learn how our payer & provider advisory services can help your organization.
Executive consultation
Let's Build a Better Reimbursement Strategy
Tell us about your organization and a reimbursement specialist will follow up to schedule a confidential consultation.
- Confidential consultation
- Executive advisory
- National experience