PayrHealth Plans
PayrHealth Plans
Build a payor contracting plan customized to your health system.
Basic
For 3 Priority Payors
Maximize your chance of getting contracted with select, desired payors with closed networks.
More About Basic
RELATIONSHIP SUPPORT
Engage an experienced extension to your team:
- Provide intuitive/secure file coordination and deliver automated status updates
PAYOR CONTRACTING & MAINTENANCE
Benefit from decades of experience in navigating payors.
- Craft value proposition for new payors, reviewing:
- Service area competitive assessment
- Performance metric assessment
- Near-term and long-term total cost of care assessment
- Patient experience assessment
- Submit standard initial network participation appeal
PAYOR PORTFOLIO ANALYTICS
Not included in basic plan
Standard
For 3 Priority Payors
Our negotiators pursue increased reimbursement for select payors and enjoy enhanced service.
More About Standard
RELATIONSHIP SUPPORT
Basic support further enhanced by:
- An assigned designated relationship manager
PAYOR CONTRACTING & MAINTENANCE
Basic support further enhanced by:
- Perform enhanced follow-up
- Perform new payor negotiations
- Perform existing payor negotiations
- Compare priority payor reimbursement
- Create payor market landscape summaries
- Support payor relationship management
PAYOR PORTFOLIO ANALYTICS
Not included in Standard plan
Advanced
For 5 Priority Payors
Analyze your payor portfolio to make intentional, data-driven decisions and drive outcomes.
More About Advanced
RELATIONSHIP SUPPORT
Standard support further enhanced by:
- Payor contract repository management & monitoring
PAYOR CONTRACTING & MAINTENANCE
Standard support further enhanced by:
- Creating payor contracting strategy planner
PAYOR PORTFOLIO ANALYTICS
Our team gathers practice management data, existing contracts/fee schedules, evaluate competitive landscape, benchmark reimbursement rates, and perform relevant market research.
Premier
For 10 Priority Payors
Have access to seasoned industry thought leaders to optimize your organization.
More About Premier
RELATIONSHIP SUPPORT
Advanced support further enhanced by:
- Do more with a bigger team and specialized consultants
PAYOR CONTRACTING & MAINTENANCE
Advanced support further enhanced by:
- Support value based contracting strategy
- Support practice management optimization strategy
PAYOR PORTFOLIO ANALYTICS
Our team gathers practice management data, existing contracts/fee schedules, evaluate competitive landscape, benchmark reimbursement rates, and perform relevant market research.
