Strategic Assessment of Managed Care Market
Consulting Services | Revenue Cycle | Revenue Cycle Solutions | Managed Care Services | Strategic Assessment of Managed Care MarketSometimes the payor has all the power.
It’s hard to operate in an environment that doesn’t allow for choices. Doing business in a single-payor market can make you feel like your hands are tied. Thankfully, you do have options.
Here’s how QHR can help.
Level the playing field.
QHR can help you develop and execute a strategy to balance the power in your market, and improve your net operating revenue.
Our managed care experts will research and report on the current state of managed care in your local market. They’ll explore and evaluate other options open to you, such as bringing in new payers or contracting directly with brokers or employers. They can assist you in developing an employer relationship strategy that can provide you with leverage with the payer community.
They’ll advise you on determining the best strategy to move you toward your goals and, once you do, they’ll help you implement your plan, including contract negotiations and effective employer communications strategies.
Our experts:
Help you understand your market
Who are the key payers?
Are there contracts your hospital is not a party to that could influence volume?
How much market share does your hospital have?
Do the research and offer alternatives to consider
What specific payers could enter the market with assistance from your hospital, and have the presence to move fully insured books of business?
How might your organization collaborate with area brokers to bring other alternatives to the local employer and individual plan markets?
Is direct contracting with local employers a viable strategy?
Help you develop and implement your strategy
Build a relationship with local employers that encourages them to make changes in their choice of third party payers and fully insured options
Assist your organization in contract negotiations with new options for the local market
Help you determine which plans appear open to operating as a partner with the hospital, and terminate contracts with those not willing to work with your organization
Get the revenue you deserve.
There are many ways to succeed in today’s managed care environment. QHR can help you find the best approach.
*There is also the option of retained services for this product.
