Healthcare Payer Contracting
Boost your revenue and get paid faster with better payor contracts.
Payor Portfolio Review
We analyze your contract portfolio to prioritize outdated contracts and opportunities for better terms with real-time market data.
Negotiations & Renegotiations
Don’t worry about following up with or tracking down contacts at insurance companies any more with our team handling all negotiations.
Credentialing Services
Complete provider credentialing services allow your team to
focus on care while we handle the paperwork.
Proactive Contract Maintenance
With up-to-date market research, we’re able to identify which of your contracts have new opportunities to increase revenue.
We provide a proven process so you can focus on excellence in patient care.
What PayrHealth can deliver to your payor contracting
Healthcare providers often lack the resources and labor capacity to negotiate competitive terms with health plans. With PayrHealth, we bridge the gap to bring reasonable and profitable terms to both parties with our expertise and experience.
Better Capacity
Our team expands your capabilities to analyze and track your contracts.
Revenue Increases
Enhance your reimbursement with more competitive contracts.
Data-Driven Negotiations
Our database of market rates and existing relationships with health plans allow us to negotiate the best terms.
Hassle-Free Communications
We have the connections and contacts to get results quickly and with little to no runaround.
Payor contracting strategy custom-built by our team of industry experts.
As PayrHealth has grown over the past several decades, we have acquired teams dedicated exclusively to delivering the gold standard in payor contracting and contract negotiations. Our process is backed by our expertise and our continuing pursuit of excellence.
Gain a deep understanding of our market and payors
The process starts with an in-depth analysis of your current contract portfolio, identifying key contracts to re-negotiate and areas of potential growth and new patient acquisition with new contracts. We’ll formulate a value proposition that gives a clear outline of the results of our analysis and goals for your contract portfolio.
Develop relationships with payors
Once we have agreed on a strategy, we begin the work of negotiating or renegotiating with payors, requesting new contracts, escalating when receiving denials, and counter-proposing. We will keep you updated throughout this process and have you review and sign new contract terms when they are accepted by the payor.
Report on progress
With PPM, you get regular check-ins with our team to discuss progress and to keep everyone aligned with your goals and our deliverables. Each quarter, we’ll also have a comprehensive report on the results and progress of our strategy, which can shift as the landscape of your payor marketplace evolves.
Grow
When you have competitive rates and reasonable terms, your payor contracts drive revenue growth with better rates and faster reimbursement for your services. This helps independent providers scale, tapping into new markets, specialties, and patients for long-term success and sustainable growth.
We've negotiated over 50,000 contracts in all 50 states.
Our payor contractors have been on both sides of the table,
and even on the streets helping to build networks for health plans as well as
providing care to patients. Meet our experts by contacting us today.
Armando Cardoso
Chief Executive Officer
Pat Apodaca
Chief Strategy & People Officer
Emily Barlow, MBA
Senior Vice President of Managed Care Contracting & Strategy
Sandra Bonola
Executive Consultant
Very responsive and focused on customer needs. They have a great reputation for excellent customer service. I phoned them and they called me back immediately and gave me the information I needed.
Areas of expertise in 275+ specialties.
We’ve helped hundreds of practices of all types and industries improve their ROI on contracts with our expertise and capabilities. Our broad experience in all 50 states makes us leaders in serving all these healthcare providers and more:
Ambulatory Surgery Centers
Behavioral Health
Urgent Care Centers
Imaging Centers
Rural Hospitals
Home Health
(Tele)Psychiatry
Physical Therapy
Independent PCP
Pain Management
Addiction Management
Hospice
OB/GYN
Otolaryngology
Pediatrics
IMAGING CENTERS
NEUROLOGY
CARDIOLOGY
Podiatry
ENT
Emergency Medicine
Plastic Surgery
Dermatology
Pathology
Blogs on payor contracting & more.
PayrHealth strives to be a thought leader as well as an industry leader in payor contracting. Learn with us by following our blog posts and website updates.
Leverage the expertise of PayrHealth for your payor contract negotiations today.
Payor portfolio management is a personalized process, since every healthcare provider is unique. Help us get to know your unique circumstances by contacting us today.
©2023 PayrHealth. All Rights Reserved.
Contact
2121 Lohmans Crossing Rd
Suite 504-823
Austin, TX 78734
Payment Processing Center
Attention: PayrHealth, LLC
PO Box 2378
San Antonio, TX 78298-2378
The information provided by PayrHealth, LLC (the “Company”) on this website is informational in nature, and has not been tailored or modified to fit any particular set of facts. You should review and consider these materials at your own risk, and they should not be considered as client advice. To the extent you desire to establish a consulting relationship with the Company and obtain tailored advice regarding your specific operations and potential revenue growth, please contact info@payrhealth.com. The Company disclaims any liability with respect to the materials set forth herein.