Philosophy

We maximize the value
of your payer contracts

See How?

Discover

Who We Are

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.

Contact Us

What We Do

Our Disciplined Process

We follow a disciplined process in our approach using these pillars throughout our engagments to develop the best proposal to achieve our clients goals.

Superior Analytics

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.

Seasoned Payer/Provider Negotiators

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.

Alignment with your Strategies

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.

Does your organization need to.....

  • align your managed care contract negotiations with your overall growth strategy?
  • improve revenue by understanding contract requirements?
  • understand performance and profitability through modeling of current and proposed contracts?
  • improve competitive position in your market?

  • If so, then watch our latest webinar:
    "Aligning Manged Care Contracting With Your Organization's Long-Term Strategy For Growth"

    Watch Video
    ...
    • 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