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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.

Meet our Expert

Kyle Tobbe, a Manager on the revenue cycle team, has over ten years of experience within the Managed Care Contracting world. He has experience with financial modeling, reimbursement methodologies, claims processing systems, and contract negotiations. He is a statistician by training that has leveraged that skill set to create value in managing provider contracts.

6 Step Payor Contract Analysis

1. Guardrail Development

2. Payor Matrix Development

3. Score Matrix Against Guardrail

4. Develop Negotiation Strategy

5. Negotiate Contract

6. Update Matrix and Guardrails

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

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