Payor contracting for private equity-backed healthcare platforms, from diligence through the last add-on
Rate lift grows revenue without adding volume. PayrHealth gives platform companies and their sponsors a payor team that scales with the deal: contract diligence on targets, changes of ownership that do not interrupt billing, portfolio-wide renegotiation against market data, and credentialing across every acquired practice. For physician practice management companies, ASC platforms and ancillary roll-ups in all 50 states, since 1994.
Founded in 1994 as Healthcents, PayrHealth since 2021. Contracting, credentialing and revenue cycle for platforms under one roof.
What we do for private equity-backed platforms
A payor function that works at platform scale: the same team on diligence, integration, renegotiation and credentialing, with reporting at the platform and practice level.
Platforms usually run this as complete payor management so one team covers every acquisition; payor contracting and credentialing are also available for a single deal or a single practice.
Evaluating a target or a new platform? See if you qualify for a free rate review and we will show you where the portfolio's contracts sit against each market.
How a platform engagement works
The first year after close, from contract inventory across the platform to a renegotiation plan that renews every year and absorbs each new acquisition.
Onboarding and inventory
Month 1Every contract, fee schedule and enrollment across the platform inventoried through paperless intake, and your dedicated team meets the platform's finance and operations leads.
Strategy
Months 1–2Contracts modeled against market data in every market the platform operates in, targets ranked by revenue and leverage, and changes of ownership scheduled.
Negotiation and integration
Months 2–8Priority payors renegotiated platform-wide, acquired entities moved under the right tax IDs and NPIs, and providers credentialed in parallel.
Growth
Month 8 onwardNew rates loaded and verified, next-tier payors opened, and each add-on acquisition folded into the plan on its own timeline.
Reporting and follow-up
ThroughoutUnderpayments and payor issues worked as they arise, with every contract and application in your portal and reporting at the platform and practice level.
A typical first year after close. Payors set their own pace on each contract; see the FAQ for what to expect.
Platform results
reimbursement increase on renegotiated contracts and 10 new contracts while the platform built its MSO and integrated acquisitions in two states
to complete changes of ownership for acquired entities in three states, ahead of a 12-month goal, with a 14.5% average rate increase
recovered in claims and 10 to 22% rate increases across payors while revenue was stabilized after the acquisition
Services for platforms and sponsors
Take one service or run them together. Platforms usually choose complete payor management so one team covers every acquisition.
Payor contracting
Portfolio-wide renegotiation and new network access, negotiated from market data
Credentialing
Changes of ownership and provider enrollment across every acquired practice
Complete payor management
Contracting, credentialing and revenue cycle, including denials and complex claims, by one team on one fee
Revenue cycle management
Billing, denials and complex claims for the platform's practices, checked against each contract
Building a surgery center platform? Payor contracting for ambulatory surgery centers has its own page.
What clients say
“They use rigorous data analysis as the basis for developing a solid negotiating approach.”
Leland Tong, MD · Google review
“We highly recommend their services to any healthcare provider looking to optimize their revenue.”
Dr. Rajesh Gupta, Medical Director, AFC of Yorktown
“They will take the time to help you figure out what you need and then work with you to achieve it.”
David Siegel · Google review
“They are very easy to work with and incredibly responsive when we have questions.”
Brandi Garlutzo · Google review
Private equity platform questions
Do you work with sponsors or with the platform's management team?
Both. Sponsors engage us for contract diligence on targets and for the first-year rate plan after close; platform management runs the ongoing engagement, with reporting that both can use.
Can you review a target's payor contracts before we close?
Yes. Contract diligence models the target's agreements against market data for its specialty and market, flags terms that will not survive a change of ownership, and sizes the rate opportunity so it can be priced into the deal.
How do you keep an acquisition billing through the change of ownership?
Changes of ownership are scheduled with every payor before close, each agreement is moved to the new tax ID and NPIs in the right order, and providers are re-linked so claims do not stop. One client completed changes of ownership for acquired entities in three states in nine months, ahead of a 12-month goal.
Can you negotiate the whole portfolio at once?
Where the payor relationship allows it, yes, and platform-wide agreements can move the most revenue. Where markets and specialties differ, contracts are negotiated market by market on one calendar, with consistent terms.
What kinds of platforms do you work with?
Physician practice management companies in specialties such as urology, ophthalmology, dermatology and orthopedics, surgery center platforms, behavioral health groups, and ancillary roll-ups in DME, labs, imaging and post-acute care.
How do you report to the sponsor?
Through the client portal and scheduled reviews, with reimbursement by payor and practice against market benchmarks, negotiation status and credentialing status, at the platform and practice level.
How quickly does rate lift show up?
Renegotiated rates typically take effect 8 to 12 months after kickoff, depending on the payor and each contract's renewal terms, and each add-on joins the plan as it closes. Credentialing and changes of ownership move faster.
How is the work priced?
It depends on scope. Fixed and monthly fees, performance fees and value-share arrangements are all available, and the proposal states exactly which applies, at the platform or practice level.
How do I get started?
See if you qualify for a free rate review using the form below. If you qualify, we show you where the portfolio's contracts sit against each market and come back with a plan and a quote.
See if you qualify for a free rate review
Tell us about the platform, its markets and its top payors. If you qualify, we show you where the portfolio's contracts sit against the best-paid quarter of comparable practices, for the same codes, in each market, and come back with a plan and a quote. No obligation.
After you submit, practices that qualify pick a time with our team on the next screen.
