Expert Negotiators, Outstanding Results!
Quick facts about our Contract Negotiation Services
- Over 6,000 payer contracts negotiated
- 9-figure in revenue lift for clients since 2020
- 100% success record in lifting payer rates!
- 99% client retention
Payer Contract Negotiations
The problem facing
medical groups & hospitals!
Declining Reimbursement, Rising Costs
Why?
- Haven’t touched their payer contracts in years
- Missing the payer contracts and or fee schedules
- No clear strategy on when or how to approach payers
- Lack confidence or resources to fight payers for increases
Payer Contracting Negotiations are Critical!
In order to combat rising overhead, providers must re-evaluate their longstanding relationships with payers
Why?
- Payer generated revenue is the largest source of income for most practices
- Contracts must be negotiated every 1-2 years!
- Understand your market, your key differentiators and what sets you apart
- Work with seasoned experts who have connections & relationships to help!
Should we hire someone to negotiate or work with a consultant?
Depends on the situation!
Certain scenarios it makes sense to hire internally, in others – it makes sense to outsource!
- Private Equity backed companies with rapid fire growth over 2-3 year period is prime for a consulting engagement
- Bandwidth constraints during periods of growth
- challenges with hiring and training a very unique skill set
- Consulting engagements can add back to the P&L, driving better valuation for shareholders!
- Medium to small physician groups
- cost prohibitive to hire and retain FT person to manage
- risk of underperformance with 1-employee
- skillsets needed are more than just negotiating and usually require 2-3 people to manage
- Hospitals & Health Systems
- periods of payer review are episodic in nature
Why clients choose to work with us!
Friendly, experienced team that has a track record of delivering results
We have one common goal, to ensure our clients negotiate better deals with payers!
- Friendly, US based team with decades of experience
- Cost-effective, affordable payer strategy
- Deep relationships with payer executives across all 50 states
- Significant knowledge of all provider and contracting types
- Extremely knowledgeable and easy to work with
