Leveraging Data to Guide Discussions on Provider-Payer Contracts

Value-Based Care Insights New Episode NOW On-Demand

As healthcare providers engage in payer contract negotiations, understanding their contractual reimbursement rates compared to their market has never been more crucial. In this episode host Dan Marino sits down with Damon Morse, an expert in rate analyses to discuss the challenges healthcare providers face with payer contract negotiations, and the strategies required to level discussions. Gain insights into how thorough analysis and strategic positioning can ensure fair reimbursement for provider organizations – and support organizational growth.

Key Takeaways

  • Providers should engage in market rate analyses in preparation for contract negotiations.
  • For successful negotiation discussions, creating a level playing field with payers is critical.
  • A market rate analysis must be considered as a key factor in a provider’s overall payer strategy.

About The Show
Value-Based Care Insights is a radio show on Healthcare NOW Radio, that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. It is hosted by Dan Marino and highlights recognized experts in the field and within Lumina Health Partners.

Tune in weekdays at 5:00am, 1:00pm and 9:00pm ET.

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