Payer Analytics

Practice Diligence Modeling

A critical component of negotiations is understanding the outcome of proposals that payers will send to you during the negotiation process.  It is imperative to understand how you are currently paid, so you can better evaluate proposals!




We dig through client billing and revenue data to determine current charges, allowed rates by payers and set them against current year or proposed year of CMS!

















Payer Proposals & Contract Modeling

Once the payer we have engaged begins sharing proposals we then create a payer contract model that will help us analyze the impact to your company’s financials!   Our include but are not limited to the data fields below

    • Payer Line of Business – Commercial, Medicare, Medicaid
    • Product Type- HMO, PPO
    • Impact by Service line, Location, Provider, CPT code