Working hand in hand.

Managed Care Contract Negotiations

Effectively negotiating or renegotiating managed care contracts is a complicated and time consuming task. Not knowing where your hospital stands in relation to the surrounding market makes it even more difficult.

Challenge | Services | Approach | Benefits

Challenge

Provisions that stand in the way of obtaining adequate reimbursement—or restrict billing and appeal timeframes—can expose your hospital to dramatic revenue losses. Unfortunately, many hospitals do not have the necessary time, tools, and human resources to effectively deal with this important issue.

Our Services

Revenue Cycle Solutions (RCS) is experienced in a wide variety of contractual situations for various-sized hospitals and healthcare systems, which typically require strict client confidentiality. In addition, third-party insurance payers often welcome our participation in facilitating negotiations to construct a fair and competitive provider agreement.

Our team can ensure your hospital or healthcare system is being treated fairly in regard to all areas of compensation.

Our Approach

RCS will work with your team to prioritize objectives, analyze provisions in existing agreements, and establish an action plan to negotiate or renegotiate contracts.

Benefits

By working with RCS, your hospital or healthcare system can confidently ensure it is in a position to construct fair and competitive provider agreements that are in balance with market competition.