Managed Care Contracting

How confident are you that you are getting paid fair market value for your services?

At Blue & Co., our team utilizes a six-step process to provide support throughout the entire contract review process. From reviewing your contracts, to developing a negotiation strategy, our team of experts are here to make sure you get paid what you should.

To learn more about our Managed Care Contracting services, please reach out to one of our experts: Nick Ficklin, Michael Montgomery, or Michael Koeninger or contact your local Blue & Co. Advisor.

6 Step Payor Contract Analysis

1. Guardrail Development

2. Payor Matrix Development

3. Score Matrix

4. Develop Negotiation Strategy

5. Negotiate Contract

6. FIT – Finalize, Inform, and Track

For more information on this process, please fill out the form below to download our pdf handout.

Hospital financial outlook 2026: medical supplies and diagnostic equipment illustrating rising healthcare expenses and pressure on hospital margins

Hospital Financial Outlook 2026: Revenue Growth, Margin Pressure, and Shifting Payer Mix

August 26, 2026

The headline number from mid-2026 is technically encouraging: hospital revenue is growing. But revenue figures have a way of obscuring what’s actually happening on the margin line and right now […]

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The Cost of Ignoring Managed Care Contracts: How Contract Audits Protect Hospital Revenue

March 11, 2026

They sit in your computer’s hard drive, or perhaps even in an old file cabinet in the corner. They can create a lot of unnecessary work, force you to devote […]

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Blue Cross and Blue Shield Antitrust Litigation Update

December 10, 2024

Earlier this month, the US District Court for the Northern District of Alabama issued a preliminary approval of the proposed settlement of the class action lawsuit against Blue Cross and […]

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To learn more about our services and areas of expertise, contact our team here.

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