• Evaluating Payer Contracts and Relationships in Today’s Health Care Environment

    With the backdrop of narrowing networks, rate cuts and potential reimbursement penalties, more than ever, practices must have a strategy in place related to their payer contracts. As practices are being asked to take bundled rates and share in financial risk that has traditionally been placed on the payers, practices must “partner” with their payers if they want to be successful. Keys to a successful partnership include: (1) knowing your payer partner, (2) having the right data, (3) knowing the quality and utilization measures being applied to your practice, (4) tracking your payer contracts and (5) understanding how financial risk is being applied to your contracts. During this 2015 MYF panel discussion, experts describe today’s reimbursement landscape and offer solutions that work.