Welcome
A Value-Based Approach to Outsourcing Managed Care Contracting
Health Strategies provides managed care consulting support to assess the current state of your managed care operations (people, processes & technology) and executed agreements, assist clients in identifying executable improvement opportunities, and provide implementation assistance throughout the remediation and improvement process. Health Strategies is a complete managed care payer contracting service company that offers an effective and affordable alternative to sourcing and hiring your own full-time employees. Our experts develop improvement options that are focused on increasing net patient revenue as well as operational effectiveness.
By providing analytical, contracting, renegotiation, and credentialing support and serving as an extension of your team, we’re able help healthcare providers grow their revenue by obtaining new and more profitable contracts with payers.
Health Strategies provides strategic planning services to help healthcare providers optimize their managed care contracting approach. We assess current payer agreements, market dynamics, and reimbursement trends to develop data-driven strategies that enhance revenue and operational efficiency. Our experts identify growth opportunities, negotiate favorable contract terms, and align payer relationships with long-term organizational goals. By leveraging our deep industry knowledge, we help clients create sustainable contracting strategies that drive financial success.
Health Strategies offers advanced analysis and comparison tools to help healthcare providers evaluate the financial and operational impact of their managed care contracts. We utilize data-driven insights to assess reimbursement rates, payer performance, and contract terms, identifying opportunities for improvement. Our experts provide side-by-side comparisons of agreements to highlight gaps, benchmark rates against industry standards, and recommend strategies to maximize revenue. By leveraging these tools, we empower clients to make informed decisions that enhance profitability and efficiency.
Health Strategies provides comprehensive managed care and revenue cycle consulting to help healthcare providers optimize reimbursement and streamline operations. We assess payer contracts, billing processes, and reimbursement structures to identify inefficiencies and revenue opportunities. Our experts assist with contract negotiations, denial management, and payment integrity to ensure providers maximize their financial performance. By aligning managed care strategies with revenue cycle best practices, we help clients achieve sustainable growth and operational excellence.
Health Strategies offers reimbursement rate benchmarking services to help healthcare providers assess the competitiveness of their payer contracts. We analyze reimbursement rates across payers, specialties, and market trends to identify underpayments and opportunities for renegotiation. Our experts provide data-driven insights that compare rates to industry standards, ensuring providers secure optimal reimbursement for their services. By leveraging benchmarking analytics, we help clients strengthen their negotiating position and enhance overall financial performance.
Health Strategies provides contract management and modeling services to help healthcare providers optimize their payer agreements and financial outcomes. We analyze existing contracts, model various reimbursement scenarios, and identify areas for improvement to enhance profitability and operational efficiency. Our experts develop data-driven strategies to support negotiations, ensuring contracts align with market trends and organizational goals. By leveraging advanced modeling tools, we help clients anticipate financial impacts, mitigate risks, and maximize revenue potential.
Health Strategies assists healthcare providers in establishing robust internal controls and communication plans to enhance managed care operations. We assess current workflows, identify gaps in contract compliance, and implement structured processes to ensure accuracy and accountability. Our experts develop clear communication strategies to align internal teams, streamline payer interactions, and improve contract execution. By strengthening internal controls and fostering effective communication, we help clients reduce errors, mitigate financial risks, and drive operational efficiency.
Health Strategies provides comprehensive pre-negotiation preparation services to help healthcare providers maximize their leverage in payer contract negotiations. We conduct in-depth analyses of current agreements, benchmark reimbursement rates, and assess market trends to identify key negotiation opportunities. Our experts develop data-driven strategies, prepare financial impact models, and equip clients with the insights needed to secure optimal contract terms. By ensuring thorough preparation, we help providers enter negotiations with confidence, ultimately driving stronger financial and operational outcomes.
Health Strategies leverages extensive industry expertise to help healthcare providers navigate the complexities of managed care contracting and revenue optimization. Our team brings deep knowledge of payer negotiations, reimbursement structures, and regulatory requirements, ensuring clients receive informed, strategic guidance. We stay ahead of industry trends and policy changes, allowing us to develop tailored solutions that enhance financial performance and operational efficiency. By applying our wealth of experience, we empower providers to make data-driven decisions that drive long-term success.
MANAGED CARE CONTRACTING REVIEW AND IMPLEMENTATION ASSISTANCE
With continued downward pressure on managed care reimbursement rates and the move to increasingly complex payment schemes, healthcare providers are seeking advanced assistance for their managed care needs. As the provider’s representative, Health Strategies helps communicate what’s unique about your organization from a payer’s perspective, aligning your contracts to a defined managed care strategy. By keeping a finger on the pulse of the Payers, we ensure our clients remain preferred in-network providers. We can help you to assess your current state and select the appropriate approach to maximize underpayment recovery and modeling during negotiations with third-party payors.
How We Begin
Through our Onboarding process, we assess the managed care strategy and contracting infrastructure of your organization. Then we assess the status of significant agreements and:
- Compare negotiated rates among existing agreements, Medicare and average area commercial reimbursement
- Understand business impact of key contract terms and conditions
- Determine potential improvement opportunities and related implementation plan
- Work the plan!