Stop leaving money on the table. Get healthcare management consulting from R&L.

Managed care arrangements aren't what they were even a few years ago. They used to be one of the main contributors to your net revenue, but the healthcare world is changing. Even the definition of what a 'good' contract is has changed. What's reasonable today compared to Medicare reimbursement? You need to be more proactive to ensure you stay in the right networks and are invited into new ACO/Health Exchange networks. You need to know "market" to make sure your reimbursement is appropriate. You can't afford for your contract to become an albatross with terms that include operational requirements that are impossible to adhere to or leave you exposed to excessive risk. Unfortunately, no one told you in medical school that you'd also need a law degree to negotiate prompt payment and limit your liability. Negotiating a winning contract is tough and time consuming, which is why most practices and facilities get stuck with the standard boilerplate instead of specifying more favorable terms.

The healthcare management consulting firm that speaks your language.

The majority of managed care contracts are outdated and no longer in the best interests of your practice or facility. Most likely, you're in networks that aren't serving you well. But staying on top of your contracts requires constant attention, and your appointment book is already bursting. The reality is insurance companies are much more open to periodic incremental increases than huge jumps because the contract has been ignored for several years. Relax and let R&L put every managed care contract clause—from utilization, adjustments and exclusions to grievance and review procedures—under the microscope to identify ways to streamline your efforts and improve your terms.

We start by analyzing what you have and how well it's working. You can rely on R&L's long-term relationships with network insurance company senior executives and our clear understanding of how the system works to maximize your leverage and develop a solid renegotiation strategy. Then we'll help put the necessary infrastructure in place to make sure you can provide clear evidence of outcomes to present a solid case that works in your favor.

Having a contract is useless if it's not easy for your staff to put it into action or if you are not sure what you are to be paid for the services you provide. R&L's healthcare management consulting includes putting together a matrix cheatsheet of all your contracts, minus the legal-ese, keeping all the critical information, such as unique provider numbers and contact information, at their fingertips. It's time you had a managed care contract that really works for you.

When it comes to healthcare management consulting, we've got you covered. Call 941-316-1101.