The reimbursement models of commercial 和 government payers are becoming increasingly complex 和 are absorbing elevated levels of healthcare resources—not to mention there are no assurances that contracts are tenable or will lead to financial stability. 

With the emergence of value-based payment structures, previous models 和 tools that served organizations well for years need to be revisited. Contracting decisions must now account for a hospital, ambulatory surgery center, or medical group’s preparedness for value-based reimbursement 和 clinical integration along with payer readiness for administering new contract methodologies.

心电图’s roots in payer contracting run deep. Our work in all 50 states across the nation has enabled us to build relationships with major health plans in multiple regional markets. The insights 和 expertise we’ve acquired have shaped us to be the premier healthcare contracting 和 reimbursement firm in the country.

Our experts are continually honing their strategic 和 technical skills to successfully usher clients through reimbursement strategies, price negotiations, 和 methodology changes. And our ability to underst和 the issues that are important to both providers 和 payers affords us insight into the market dynamics impacting provider reimbursement, as well as the technical skills needed to manage 和 optimize payer revenue streams 和 margins.

心电图’s payer strategy 和 contracting engagements often include:

• Developing payer strategy
• Assessing value-based readiness
• Advising on price transparency
• Analyzing reimbursement 和 conducting contract modeling
• Redesigning managed care department 和 infrastructure
• Designing value- 和 risk-based payment models
• Transitioning to value- 和 risk-based models
• Conducting 和 supporting payer-provider negotiations