Contract Analysis & Negotiation

Healthcare providers are facing unprecedented challenges in maintaining financial stability in a rapidly changing industry. The primary hurdle is the increasingly complex system of reimbursement arrangements from both public and private payers. There are numerous payer contracts covering hundreds of services, each with different rates, terms, conditions and reporting methodologies. With the acceleration of hospital-physician clinical and economic integration initiatives, additional hurdles exist in understanding the many models, contracts and incentives being developed. Our firm can help you analyze, understand and negotiate effectively to take control of the contracting that drives your business. We offer managed care strategy development, contract modeling, analysis and language review, negotiation and negotiation support, rate benchmarking, payment compliance auditing, operational review and improvement, hospital-physician contracting advisory services.