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Payer Relationships

Rate Negotiations: Get Paid What You Deserve

October 24, 2025 / admin / Articles, Payer Contract, Payer Contract Management, Payer Contracting, Payer Negotiations, Payer Relations, Payer Relationships, Payer vs Provider, Payment Models, Rate Negotiation Service, Rate Negotiations
White Male Doctor Challenged by RCM

Here’s an uncomfortable truth. Most healthcare providers are being underpaid by insurance companies. Not because the insurance companies are evil, but because providers accept whatever rates are offered without pushing back. When you first join an insurance network, signing the contract and getting started feels easier than questioning the payment terms. Yet, that decision to […]

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Payer Contract, Payer Contract Management, Payer Contracting, Payer Negotiations, Payer Relations, Payer Relationships, Payer vs Provider, Payment Models, Rate Negotiation Service, Rate Negotiations

Payer Contract Optimization Strategies

September 16, 2025 / admin / Articles, Healthcare Rate Negotiations, Medical Rate Negotiations, Payer Relationships, Rate Negotiations, Value Based Care, Value-Based, Value-Based Care, Value-Based Care Adoption, Value-Based Care Integration, Value-Based Models
Payer Contracting Negotiation

Managing payer contracts effectively can make the difference between a thriving practice and one that struggles financially. Healthcare organizations face mounting pressure to maximize revenue while delivering quality care, and optimizing payer contracts sits at the heart of this challenge. Smart contract optimization is about creating sustainable partnerships that benefit both providers and payers while […]

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Healthcare Rate Negotiations, Medical Rate Negotiations, Payer Relationships, Rate Negotiations, Value Based Care, Value-Based, Value-Based Care Adoption, Value-Based Care Integration, Value-Based Models

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • 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
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • 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

  • Complete Directory of Major Healthcare Insurances (signage)

    Complete Directory of Health Insurance Companies

  • Old Black Male Patient Stretching

    What are Patient-Centered Care Models?

  • Hawaiian Woman Performing Payer Contracting

    A Provider’s Guide to Payer Contract Analysis

  • ASC Credentialing Surgery

    Ambulatory Surgery Center (ASC) Credentialing

  • Medicare Slashes Prices (sign)

    Medicare Slashes Prices on 15 Popular Medications Including Ozempic

  • Medical Credentialing Specialist Ethnic Female

    Simplified Credentialing for Healthcare Practices

  • White Male Credentialer

    The Value of Outsourced Credentialing

  • CPT Codes for Alopecia Treatment Billing

    Which CPT Codes are Used for Alopecia Treatment Billing?

  • Payer Contracting Experts Talking in a Healthcare Group HQ

    Three Essential Phrases That Protect You in Payer Contract Negotiations

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