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Negotiate Better Payer Contracts with Contract Modeling

Gain the upper hand in payer contract negotiations by modeling the proposed terms to understand the bottom line impact.

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Model Payer Contract Terms to Predict Impact on Net Revenue

Using historical contract data, contract modeling software allows your healthcare organization to model thousands of various reimbursement combinations to understand the impact of the proposed payer contractual terms on your bottom line.

When negotiating new payer contracts with healthcare contract modeling, you can:

  • Save time and money
  • Gain confidence 
  • Model contracts in real-time using historical data
  • Understand the impact on the bottom line

4 Metrics of Contract Management

For healthcare providers struggling to generate consistent revenue growth, establishing a foundation of benchmark metrics for measuring the financial performance of your contract management system can be the difference in driving your bottom line.

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Model Contracts in Real-Time Using Historical Data

Our contract modeling system provides hospitals the ability to simulate inpatient, outpatient and physician terms to determine the full financial impact. In addition, you can create user-defined historical modeling data-sets using your claim history.

Modeling the impact of proposed reimbursement terms using a hospital's historical data ensures accurate projections of utilization and charge patterns. Easily project effective discount rates for a true side-by-side comparison between various contract terms including Medicare and the current contractual rates and terms.

Gain More Insight with Reporting & Analysis

Reporting provides quick analysis of the effective discount rates, stop-loss, add-on reimbursable items and other factors that contribute to the overall profitability using specialized simulation reports.

Understand the True Value of Payer Contracts with Analytics

Analytics helps you understand the true value of the proposed contract. Healthcare providers need the ability to visualize the existing contract/baseline to the proposal and how commercial payers stack up against each other.

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“PMMC has the best tool for 'gatekeeping' reimbursement. I could not validate payer contract rate proposals without PMMC's simulation tools."

 

Lake Charles Memorial Health System

Start improving your bottom line with better payer contracts 

Get started with contract modeling software to negotiate better payer contracts!

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