Managed Care Negotiation

Many physicians believe that little can be done about declining reimbursements from managed care payors. They decide that the only way to improve their financial position is to cut costs and work longer hours. Nothing could be further from the truth!

Managed Care Contract Negotiation With DoctorsManagement

Whether you are just starting or have an established practice, negotiating better rates for your services can enhance your revenue. It can be done, and you don’t have to wait until your contract is up for renewal to renegotiate the terms. You can request renegotiation with any payor at any time, and 80% of the time payors will comply.

Unlike “governmental” payors, commercial insurers negotiate! If you simply sign on the dotted line and give no regard to the many options available to you, you may miss ongoing revenue opportunities for years to come.

The managed care consulting team of DoctorsManagement can help. We review your current contracts to discover ways that can improve your income. We then provide you with feedback on your current contract as well as a detailed plan on how to reduce unnecessary risks and improve your income.

What Is Managed Care Contract Negotiation?

Your practice’s managed care contract is with a managed care organization. That organization focuses on reducing costs and improving patient care. Managed care contract negotiation is a service that helps your practice ultimately boost its financial performance.

You want to ensure your managed care contracts match your specific goals and growth projections for your medical practice. Luckily, managed care contracts are not set in stone. You may need to negotiate your contract if you have noticed:

Decreases to your current reimbursement rates
A particular payer has become a larger percentage of your payer mix
Changes to payer operations (e.g., prior authorizations, rejections, denials, etc.)
Unfair or one-sided contract language

Our Managed Care Negotiation Services

Negotiating a contract requires careful planning and execution. DoctorsManagement can guide you through the managed care negotiation process, helping determine:

Payer-Provider Relationships

DoctorsManagement can help you establish the relationship you want between your practice and the managed care payers. Whether you are looking for a short- or long-term partnership, you can change the details of the contract.

Fair Compensation

A large portion of negotiating managed care contracts ensures your practice receives fair compensation for its services. However, it’s important to look beyond only rates and consider how the payer can impact your workflow, procedures, and products.

Negotiations For Multiple Service Lines

Your practice may extend further than only one office or hospital. When negotiating complex service lines, it’s important to look at the bigger picture and your goals for the other moving parts, such as ancillary services.

Comprehensive Payer Profiles

We can help you feel most prepared when entering a negotiation by developing a panoramic view of your ideal contract. This way, you have your goals laid out going into the meeting.

Objectives on Both Ends

While all preparation is critical to a successful negotiation, it is also important that you go into the meeting with an open mind. We can talk you through what points the contractor may bring up so you know what to expect and can work on coming to an easy agreement.

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Why Managed Care Is Crucial for Healthcare Organizations

Your contract affects every aspect of your business. Let us show you ways to work smarter, not harder! Through our experienced team, you can:

Learn how you can potentially increase reimbursement for your services
Discover ways to speed up insurance reimbursements
Reduce liability and hidden obligations in existing contracts
Become more competitive in your marketplace
Stop giving away discounts you didn’t agree to
Realize continued revenue improvements

Team Up With Our Managed Care Consultants Today

We get it — contract negotiation can be daunting when you try to tackle the big picture alone. DoctorsManagement is a full-service consulting firm that is here to provide contract negotiation so you can reach your goals with minimal limitations. Our team of experts can partner with your practice’s leaders to better understand your mission and negotiate the terms you deserve.

After working with us, 95% of our clients saw an increase in their earnings — and contract negotiation is only one way we can help. We also offer practice assessments, transitions, revenue cycle management (RCM), and a power-buying program. You can use our management services whenever you need us so you always have a friend on your side.

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March 6, 2024

Contact Us Today

Learn how our team can help your practice with managed care contract negotiation. Contact us today to begin your journey toward a successful future.

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Managed Care Negotiation

Managed Care Contract Negotiation With DoctorsManagement

What Is Managed Care Contract Negotiation?