We provide executive level managed care expertise to help
hospitals negotiate stronger contracts.
Our team of managed care negotiators has worked with national
payers to successfully negotiate hospital and physician
contracts that deliver improved revenues to achieve client
goals.
This knowledge makes us extremely adept in negotiating
agreements between your hospital and your payers that support
your strategies.
Use our 25 years of experience and industry knowledge of your
challenges combined with our superior analytics to develop
solutions that best position you to compete successfully in
your market.
We follow a disciplined process in our approach using these pillars throughout our engagments to develop the best proposal to achieve our clients goals.
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 negotiators have senior level experience in both payer and provider systems.
They use our superior analytical tools with their experience and relationships to give our clients unique insights into the payers thinking which allows us to develop successful proposals to meet your goals.
Have your negotiations resulted in contracts that are operationally efficient and financially effective?
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.
"Stronger payer relationships enable you to achieve your goals."
With government payers moving to mangaged care models, the most significant opportunity to finacne 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 that the payer so you can drive the outcome that best achieves your goals.
John Montaine