REIMBURSEMENT STRATEGY

Reimbursement is shifting inexorably to models in which providers are more responsible for the cost of care for populations, across their entire book of business. This implies the need for new approaches to sharing cost risk within systems, between hospitals, physicians, and payors. We support provider organizations across the continuum, from defining strategies to sustainably partnering with payors, including shoulder-to-shoulder negotiation assistance.

  1. Payor Contracting Strategy: Modeling payor contract implications from the provider perspective, supporting fair partnering strategies with payors and employers
  1. Service Optimization: Defining creative and compliant approaches to optimize service reimbursement, based on the latest rules governing sites, providers, and contracts
  1.  Contract Evaluation & Negotiation Support: Direct should-to-shoulder support by experienced professional with payor backgrounds to ensure that the deals on your table are feasible and support growth