Managing Partner at Lumina Health Partners and the Lumina Leadership Institute: Guiding Transformation Strategies for Healthcare Organizations; Host of Value-Based Care Insight Radio/Podcast Show
Many provider organizations feel like they are at a big disadvantage when negotiating #managedcare contracts with payers. The keys to an important contract negotiation are to have a payer strategy that ensures the initial “ask” is fair, fee schedules supporting the evolving clinical services offered by the provider, and the administrative terms remaining current and manageable. As a start, many provider organizations must understand where their fee structure is compared to commercial rates in their market. Going through a market rate analysis helps inform leaders on their market pricing model and also its impact on the employers in the communities they serve. In our next episode of Value-Based Care Insights, I am joined by Damon Morse where we discuss the importance of conducting a market rate analysis in preparation for contract negotiations with payers. We also discuss how this information will benefit a provider’s payer strategy, market pricing model and place the providers on a more level playing field with payers. Please listen in to this great episode and send your thoughts. https://hubs.li/Q02yyrbt0 #Luminahp, #HFMA, #managedcare, #riskbasedcontact, #hospitalleaders, #VBCInsights
