1.
Identify current contracts for each major payor, and determine
general pricing methodologies and key terms.
2.
Understand the member facility’s relative market position,
strengths, weaknesses and leverage points for payor contract
negotiations.
3.
Gain a detailed understanding of contract business volumes,
financial results and operational issues as input for developing
the payor specific negotiating strategy.
4.
Identify contractual terms that do not comply with standards
and assess the net revenue impact of significant exceptions.
5.
Develop payor specific contracting strategies that meet
facility’s business and net revenue goals.
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