2021 Medtrade East

Analyze and Attack Payer Contracting Opportunities (Room C208/209)

In a post COVID environment, providers must explore new payer contracts and opportunities for positive reimbursement negotiations. Successful contracting and negotiating strategies analyze and leverage all relevant data points PRIOR to beginning discussions. Before you enter any further contract discussions, you must first analyze your market to find answers to questions like:   1) Have there been any recent changes to reimbursement policies with the payers you currently work with?  2) Which other providers are in network with key health plans and providing the same products as me?   3) What is a payer going to offer in terms of a fee schedule (is it even worth it for me to pursue a contract with this payer) 4) When do you know when to stand your ground, or accept a lower rate based on market dynamics? Whether you are entering into a new product line or a new geographic area, pursuing a brand new payer contract or renegotiating an existing one, answering the above questions will undoubtedly enhance your negotiating strategy and shine a light on key available opportunities. During this session, you will learn about available resources and key strategies to leverage them into successful contracting negotiations.