Payer Negotiations

The ability to obtain appropriate, optimal payment for services provided in the healthcare industry is often directly contingent on a provider’s ability to manage its payer contracts and reporting obligations.

Over the past decade, the healthcare industry has experienced severe reductions in operating margins on services provided. As a result, it is more important than ever to ensure your organization has a robust and systematic approach to managing all aspects of your various reimbursement streams, including actively managing and routinely monitoring and renegotiating your various payer contracts.

CRI’s healthcare professionals have considerable experience assisting our clients in these matters. Among other services, our professionals help with:

• Payer contract profitability analysis
• Contract benchmarking
• Payer renegotiations support
• Assistance with cost report reviews and audits*

We provide value-added services to healthcare providers of all types and sizes, designed to meet expectations in the current environment and prepare for challenges ahead.