Contract Negotiations

Consulting Services | Revenue Cycle | Revenue Cycle Solutions | Managed Care Services | Contract Negotiations

Healthcare reimbursement is tight.

Negotiating managed care contracts can be time consuming and overwhelming. Get it right and your hospital can make more money. Get it wrong, and you may end up locked into a contract that doesn’t make sense for your business. Why suffer through the process when a seasoned negotiator can work effectively on your behalf?

Here’s how QHR can help.

Powerful negotiators. Better contracts.

You retain control and approval of negotiating parameters, while our seasoned professionals put their skills to work for you. Knowledgeable and experienced with all the major payers, they can save you time and headaches, and win you more revenue.

Guided by your goals, we use our tools and expertise to help you develop a strategy specific to your organization. And our negotiators carry it out with your oversight.

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Our experts:

  • Prepare a preliminary negotiations strategy with your hospital to determine key needs, net revenue targets, and the extent to which the contracting process can proceed without further approval from the hospital and/or board of trustees.
  • Utilize an automated contract modeling process that provides specific insight into the performance of an agreement by service category, and allows the negotiating team to theorize “what if” with various proposals.
  • Solicit input and data from hospital functions that have ongoing interaction with the payor, such as patient financial services, quality management and case management. Negotiation targets reflect problem areas identified via the due diligence process.
  • Terminate an agreement only when the hospital, board and contractor believe it is necessary to achieve movement, and represents a real possibility of affecting the desired change.

    • Take charge of your revenue.

    QHR’s experienced negotiators can help you reverse negative trends, with fair reimbursement and favorable contract terms.

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