Managed Care Contracting

Managed Care Contracting

Managed Care Contracting

HC Intellect is a one-stop shop for healthcare providers seeking to optimize payer reimbursements. At HC Intellect, we understand that managed care contracting is the backbone of a strong financial EBITDA. 

Our expertise in this area will help you establish the following:

  • Pro forma: An all-inclusive and well designed pro forma is the first step in the contract negotiation process. It will help align proposals with your financial objectives. 
  • Market Analysis: Before heading to the negotiation table with insurance companies it is critical to determine the following: 
    • Market reimbursement averages by top service lines
    • Federal payers' reimbursement rates
    • Competitors
    • Insurance/Payer mix
    • Market Costs: space, staffing, supplies, drugs, ancilliary etc.
  • Data Presentation: After establishing a strong pro forma and performing a comprehensive market analysis, it is equally important to effectively document and present a proposal to payers that also highlights market place impact.  The document should identify key-differentiators and the positive impact to patient care.
  • Contract Negotiation: Finally, our team of highly skilled experts will help present and negotiate the best rates.
  • Contract Modeling: Our contract modeling/management tool will help you compare fee schedules across payers.

HC Intellect HC Intellect is the premier provider of comprehensive value-based revenue cycle solutions for healthcare providers.

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