Reimbursement
Better understand complex managed care environments
Contracts Modeled
15,000+
Annual client charges reviewed
$669+ billion
Proprietary benchmark CDM
52+ million lines
Better understand how your reimbursement policies impact your
goals and objectives!
In-depth reviews of your reimbursement structures and managed care agreements that uncover opportunities others miss.
Our team analyzes every clause, rate schedule, and detail to ensure your contracts align with your financial goals and operational realities.
We provide comprehensive managed care contract analyses, reimbursement methodology reviews, contract negotiation strategy and support and payer performance benchmarking
01
We begin by understanding your goals, concerns, and timeline.
02
Data integration and reimbursement experts intake, review and standardize all your managed care terms and conditions.
03
Provide strategy reviews, market comparisons, or negotiation support.
Features of Your Consulting Engagement.
What it is
How it’s used
Comparison review and evaluation
Comparison review and comparison of managed care contract terms.
Understand how your reimbursement rates and terms compare with others.
Contract Negotiation Support
Evaluate and model proposed managed care contract revisions with industry experts.
Information and guidance to support your negotiation cycles.
Comparison review and evaluation
What it is
Comparison review and comparison of managed care contract terms.
How it’s used
Understand how your reimbursement rates and terms compare with others.
Contract Negotiation Support
What it is
Evaluate and model proposed managed care contract revisions with industry experts.
How it’s used
Information and guidance to support your negotiation cycles.
RELATED RESOURCES
FY 2021 IPPS Proposed Rule: MSDRG Changes
