About SCALE Payer Contracting
Despite its critical role in driving on-going performance and facilitating strategic scaling, payer contracting is commonly one of the more opaque departments within the physician platform ecosystem. As practices Scale healthcare and payer contracting becomes an increasingly overwhelming task, practices frequently submit to unclear performance reporting and ambiguously defined goals.
However, given its importance and technical nature, we believe payer contracting requires a precise approach: invest in qualified oversight and transparent performance reporting as well as clearly, realistically, and proactively defined strategies.
The SCALE Difference
Ongoing Payer Strategy and Support
A thorough analysis of payer contracts and fee schedules is often much needed, especially post transaction, to lessen the number of potential obstacles that can occur in the future and create new or improved reimbursement rates and opportunities.
Ongoing market/payer research and intel to help guide successful strategies for future growth and improved reimbursement
Corporate Development and Partnerships
Develop relationships and build partnerships with payers, the government, and employers to help build reputation of the client and expand market share. Develop demonstration projects for new or novel services not offered by many providers
Other Operational Expertise
Benefit from the expertise from our broader team of senior operational executives including Marketing & Communications, Executive Search and Interim C-Suite Management as well as Practice Integration.
Download our one-page fact sheet to learn more about our products and the challenges SCALE Due Diligence solves for.
SCALE Payer Contracting Case Study
Our Client was out-of-network with several key payors with no strategy for moving in network. The Client’s payor contracting resource was new to the organization and the Client’s executive leadership and private equity Board wanted extra oversight of the process.