Preparing for Payer Negotiations: 7 Questions to Ask

Managed care contract negotiation is an ongoing process. Here are seven questions for healthcare providers to ask themselves when preparing to enter negotiations with a payer, according to a Medical Group Management Association report.

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•    What percentage of patients and revenue is attributable to the payer?
•    What are the costs and margins by code/service for the payer?
•    What are days in accounts receivable for the payer like in comparison to other payers?
•    If competitors are in the payer’s network, what are the competitors’ strengths and weaknesses?
•    What grade did the payer receive from an internal payer report card?
•    What are the concessions you are willing to make to prevent termination of an agreement?

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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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