Provider Contracting & Negotiation

Managed Care Contract Review and Negotiation

We help hospitals, health systems, physician groups, ASCs, and ancillary providers review and renegotiate contracts with managed care organizations (MCOs) — with stronger terms and sustainable reimbursement as the goal.

Your Challenges

Organizations often struggle with:

• Determining a fair reimbursement proposal
• Collecting copies of current managed care contracts
• Understanding how agreement language affects your practice
• Managing contractual provisions (expiration, termination)
• Gathering data on visits using CPT codes by payor
• Gathering data on HEDIS measures
• Differentiating your facility from the competition