We maximize the value
of your payer contracts

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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.

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Who We Serve

Hear From Our Satisfied Clients

Does your organization need to.....

  • compete in your market using Strategic Perspective?
  • understand the payers and the challenges in payer contracts?
  • focus on performance and profitability?
  • improve your managed care contract strategy and performance?

  • If so, then watch our latest presentation from the Lone Star HFMA July Webinar:

    "Strategically Negotiating Managed Care Contracts In Alignment With Your Goals"

    Open Presentation
    • 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