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Contract Management

How to Restructure Payer Contracts

August 31, 2025 / admin / Articles, Contract Management, Payer Contract, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payer Enrollment, Payer Negotiation, Payer Regulations, Payor Contract, Payor Contracting
Agreement to Negotiate Contracts in Healthcare

Healthcare providers often believe they have limited options when it comes to improving their payer contracting income. This assumption couldn’t be further from the truth. Contract negotiation and contract management represent powerful tools your healthcare organization can leverage to enhance current contracts and increase revenue substantially. The challenge lies in execution. Many physicians struggle to […]

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Payer Contract, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payer Enrollment, Payer Negotiation, Payer Regulations, Payor Contract, Payor Contracting

Key Performance Indicators That Drive Payer Contract Decisions

January 31, 2025 / admin / Articles, Contract Management, Payer Contract, Payer Contract Negotiation, Payer Contracting, Payer Contracts, Payer Negotiation, Payer Regulations, Payor Contract, Payor Contracting
Group of diverse medical doctors in scrubs, smiling

Healthcare payers operate in a data-rich environment where every contract decision can impact millions of dollars in claims, member satisfaction, and regulatory compliance. The metrics that guide these decisions go far beyond simple cost considerations, encompassing quality outcomes, network adequacy, and member experience factors that directly influence an organization’s competitive position and financial health. Smart […]

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Contract Management, Payer Contract, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payer Enrollment, Payer Negotiation, Payer Regulations, Payor Contract, Payor Contracting

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Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • White Male Doctor w/ Black Female Administrator

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    10 Payer Contracting Use Cases

  • White Male Medical Doctor Needing Credentialing

    Struggling with Credentialing? Medwave Can Help!

  • Agreement to Negotiate Contracts in Healthcare

    How to Restructure Payer Contracts

  • White Female Medical Doctor Smiling

    Credentialing for New Graduates: From Residency to Practice

  • Payer Contract Management in Healthcare

    Payer Contract Management Strategies for Healthcare Providers

  • Medical Credentialing Workflow

    Credentialing Workflow Optimization

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