Secured 5
new payor contracts
Rate Increases
across all negotiated agreements
About the Client
This California-based multi-specialty orthopedic group operates across multiple locations and is dedicated to comprehensive musculoskeletal care. With a foundation in sports medicine and arthroscopy, the practice includes fellowship-trained physicians specializing in orthopedic surgery, podiatry, and physical medicine and rehabilitation.
Client Need
Operating in one of the most saturated orthopedic markets in the country, the client faced major challenges negotiating competitive payor contracts. Reimbursement rates were declining, and major payors were resistant to increases. The practice needed:
- Stronger payor relationships to support sustainable revenue
- A centralized, easy-to-access contract library for internal teams
- Improved reimbursement rates across key commercial contracts
To address these needs, the group partnered with PayrHealth to bring structure and strategy to their payor contracting efforts and improve overall financial stability.
PayrHealth’s Solution
With deep knowledge of the California market and national reimbursement trends, PayrHealth implemented a multi-pronged strategy:
- Built a Contract Library – PayrHealth created a centralized payor reference resource to give billing and administrative staff quick access to product lines, key reimbursement terms, and payor-specific contract language (ex: contract renewal alerts).
- Negotiated Rate Increases – PayrHealth successfully secured improved reimbursement rates on all newly negotiated contracts, demonstrating the client’s unique value in a highly standardized payor landscape.
- Navigated Payor Resistance – Through persistent engagement, appeals, and strategic data-backed negotiations, PayrHealth overcame initial denials and pushed back against boilerplate rate offers.
Client Outcomes
The collaboration produced measurable results within the first year:
- Secured 5 new payor contracts
- Achieved rate increases across all negotiated agreements
- Established a scalable contract library to improve internal efficiency and payor engagement
Partner with PayrHealth
With over 50,000 contracts negotiated across all 50 states and more than 40 years of combined revenue cycle and payor management experience, PayrHealth helps provider groups like yours secure better contracts, faster credentialing, and stronger revenue.
Ready to see what we can do for you?
