Our Value Proposition

We bring Large System
Payer Negotiations Capabilities
to Community Hospitals

See How?

Discover

Does Your Organization

  • Get the market share from the payers you want?

  • Understand why your contracts aren't producing the expected revenue?

  • Make a margin that allows you to invest?

    • We strategically negotiate your contracts to deliver the revenue while you stay in control and focus on your other priorities - leading to satisfied client endorsements.

    Then Let's Talk!

    Are Your Payer Contract Increases keeping up with Premium Increases?

    See Blog!

    Who We Serve

    Hear From Our Satisfied Clients

    We Are

  • Leaders who have worked at large AMCs, for FP & NFP health systems, and national payers.

  • We understand the challenges each side faces.

  • We us this understanding to create solutions.

    • Strategic Approach
    • Expert Negotiators
    • Displined Process
    • Proven Results
    We use custom tools we specifically built to assess your actual claims, executed contracts, and remittances from each payer. Next, our team uses this assessment to identify the specific areas that cause these results. Once the tools are developed, we can see how and where to negotiate language, methodology, or rate changes to achieve your goals.
    Our team is built with executives who have payer and provider experience across the United States. This allows us to track trends and share experience, as well as develop client-specific solutions for the optimal outcome for each organization.
    All the information is shared with your team to help them understand and comply with the requirements of the contract. This helps ensure your system gets paid the hospital revenue you expected.
    As one of the industry’s top managed care consulting firms, we’re proud to offer experience you can depend on for every job. Whether you hire us to examine a single contract or review your entire operation’s negotiations, you can count on our team for careful attention to detail and keen insight.
    "Stronger payer relationships enable you to achieve your goals."

    With government payers moving to mangaged care models, the most significant opportunity to finance your strategic plans is to strengthen your payer relationships as a portfolio.

    CMCS process will put you in control of your negotiations so you have better tools, negotiators, and tactics than the payer so you can drive the outcome that best achieves your goals.

    John Montaine

    John Montaine

    From the CEO's desk

    Our Team