Healthcare providers face constant battles when negotiating and managing contracts with insurance companies. These obstacles affect every type of practice, from solo physicians to massive hospital networks. The difficulties come from unequal bargaining power, hidden information, endless paperwork, and the overwhelming number of different insurance companies in the market. For most providers, dealing with payer […]
Contract Analysis, Contract Management, Contract Negotiations, Contracting, Contracting AI, Payer Contract, Payer Contract Analysis, Payer Contract Management, Payer Contracting, Payer Contracts
When healthcare providers set up their practices, one of the first decisions they make is choosing their business entity type. While this might seem like a routine administrative task, that choice carries far more weight than most realize. Your tax status fundamentally shapes every contract you’ll negotiate with insurance companies, how you bill for services, […]
Billing and Contracting, Contract Negotiations, Contracting, Corporation, Partnership, Payer Contract, Payer Contracting, Payer Contracts, Sole Proprietor, Tax Status, Tax Status Shapes Credentialing, Value Based Care, Value-Based Models
Healthcare providers today face mounting pressures from multiple directions. Administrative burdens continue to pile up, denial rates are climbing, and reimbursement rates lag behind inflation. Yet many hospitals and health systems approach payer negotiations with the same old playbook, leaving significant money on the table and accepting contract terms that don’t serve their organization’s best […]
Contract Negotiations, Data-Driven, Data-Driven Negotiations, Data-Driven Payer Negotiations, Payer Negotiations, Scott Ellsworth, Strategic Payer Negotiations, Value Based Care, Value-Based Care Models
Healthcare providers, chances are you’re all too familiar with the headaches that come with negotiating contracts with insurance payers. It’s a tedious process that often leaves you feeling like you’re getting the short end of the stick. But here’s the thing – re-negotiating those contracts on a regular basis is absolutely crucial for the financial […]
Billing, Contract Negotiations, Healthcare, Medical, Medical Billing, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payer Enrollment, Payer Negotiation, Payer Regulations, RCM, Revenue Cycle, Revenue Cycle Management