Payer Contracting: Strategy & Planning

For many providers, payer contracting can be a daunting proposition. From experienced multi-state facility operators to single practice and facility startups, many of the questions and concerns remain the same. The Diamond Group is here to help. We will make payer contracting easy for you.

The first step is to meet with your team to learn about your business profile and your objectives.

We will describe the payer environment and current climate, and the best opportunities and timeframes for accomplishing your goals.

Healthcare providers are facing challenging times. We can help you develop a strategic plan for business expansion, including acquisitions. We will identify barriers to entry and guide you through the change of ownership requirements.

From the strategy and planning session we create a Scope of Work document for the design and implementation of your payer contracting strategy. This includes:

Identifying the best payers for your practice
Reviewing the contract options available and potential rates
Reviewing your existing contracts and rates
Leading the contract negotiation
Preparing the documentation necessary for a streamlined credentialing process
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The Diamond Group understands payer contracting from the perspectives of both the payers and providers.

This helps us ensure that you always get the best possible contract and rates.

We know the process and the people involved, as well as pitfalls to avoid. By engaging us to develop your payer contracting strategy, you take an important step in expanding your market, increasing revenues, and stabilizing income.

We work with a broad spectrum of payers:

Commercial: All Major Healthcare Plans
Medicare: Medicare Advantage Plans
Small Regional Carriers
Government Payers

Contact us for a free, no-strings, initial consultation.

We will give you an honest assessment of your payer contracting options, and whether it makes sense to engage us. And we will explain our fee structure so that you have all you need to make a decision.

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