Develop a comprehensive payer strategy, strengthen payer relationships
Ensure all professional credentialing activities are maximized and efficient
Improve collaboration with payers with a focus on growing value for their members; establish a connection between quality care, and improved outcomes and total cost of care
Pursue and negotiate value-based contracting and other creative payment methodologies
Establish routine contract management processes
Negotiate rates beneficial for both parties
Achievements
Secured the renegotiation of several commercial payer contracts resulting in the additional revenue year 1: $1,355,457K
Two fulltime positions eliminated: Estimated salary savings $130K
Completed a contract inventory to include all sites: 51 different payers, 60+ different contracts to include both facility and group contracts, and over 40 different locations
Secured the second-year renegotiation of several commercial payer contracts resulting in the additional revenue year 2: $450K
Negotiated and secured an additional commercial payer contract effective July 1, 2020 resulting a minimum additional revenue of $518,361K.
Fully executed a Protocol contract that will eliminate write off’s due to “non-credentialed provider” by an estimated $290K in billed charges
