Managed Care Contracting
Sanvirs
Technosolutions is a one-stop shop for healthcare providers seeking to optimize
payer reimbursements. At Sanvirs Technosolutions, we understand that
managed care contracting is the backbone of a strong financial EBITDA.
Our expertise in this area
will help you establish the following:
- Pro forma: An all-inclusive and well
designed pro forma is the first step in the contract negotiation process.
It will help align proposals with your financial objectives.
- Market Analysis: Before heading to the
negotiation table with insurance companies it is critical to determine the
following:
- Market reimbursement
averages by top service lines
- Federal payers'
reimbursement rates
- Competitors
- Insurance/Payer mix
- Market Costs: space,
staffing, supplies, drugs, ancilliary etc.
- Data Presentation: After
establishing a strong pro forma and performing a comprehensive market
analysis, it is equally important to effectively document and present a
proposal to payers that also highlights market place impact. The
document should identify key-differentiators and the positive impact to
patient care.
- Contract Negotiation: Finally, our
team of highly skilled experts will help present and negotiate the best
rates.
- Contract Modeling: Our contract modeling/management tool will help you compare fee schedules across payers.
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