Best Practices for Negotiating Payer Contracts As Cost Shifts from the Payer to the Patient

May 8th, 2019 1:00PM ET

Negotiating the most effective reimbursement rates with payers has always been a challenge for
healthcare providers.

In 2019, as high deductible health plans continue to rise and patients take on a greater share of the cost,
providers are faced with an even greater challenge: How do revenue cycle and managed care leaders
manage and forecast this shift to negotiate the most effective payer contracts?

In this sponsored webinar by PMMC, attendees will learn:
  • The four key components of the payer negotiation process
  • Metrics and benchmarks for measuring payer performance, including the benefit of payer scorecards
  • How to negotiate contracted rates that steer patients to the appropriate location for the most efficient primary care
  • How to leverage technology and analytics to better forecast shifting reimbursement
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About the Sponsor: PMMC

PMMC provides high-value revenue cycle software and services to improve the financial performance of healthcare providers. Our software and expertise focuses on reimbursement accuracy and identifying more revenue opportunities across the revenue cycle. PMMC helps hospitals identify underpayments and denials, negotiate better payer contracts, increase price transparency, and manage value-based reimbursement. Clients see, on average, a 10 to 1 return on investment with software and services.

Greg Kay
Senior Vice President, Revenue Strategy

Greg has managed and consulted in healthcare for 28 years. He has been with PMMC for the past 20
years and prior to that was the VP of Sales for PCA (Beverly Enterprises’ pharmacy division). Greg has
experience in multisite operations management, managed care negotiation from a healthcare provider’s
vantage point, and product development/implementation. Greg is a University of South Carolina finance
and marketing graduate. Greg was recognized in 2012 as a Business Leader Top 50 Entrepreneur.