Model Potential Contract Rate Changes

Payer contract changes and renewals slip by providers far too often.

Insufficient staff bandwidth and lack of access to technology-enabled analysis leave providers unequipped to push for favorable rates. When you have just 30 or 60 days to respond to change notices and renewals, it’s critical to act quickly and be armed with the proper knowledge.

RevFind empowers managed care contracting teams to model the impact of potential rate changes on revenue. Rate modeling reveals whether a payer’s proposed changes are a net benefit or net detriment. It also frees you to assess the impact on revenue of the rates and terms you would prefer. Insights from your models improve your team’s negotiating posture and help avoid unfavorable contract changes. 

Empower data-driven negotiations

Data is the backbone of a strong payer negotiation process. Negotiating contracts without clear data can lead to:

• Unfavorable terms: You might miss opportunities to improve impactful rates or terms
• Wasted time: Manual analysis of contracts is inefficient, consuming days or weeks of staff time
• Lack of justification: Negotiating without strong data backing can weaken your position

RevFind provides the data and tools you need to: 

• Evaluate payer performance: Gain insights into how payers reimburse to assess their impact on your bottom line and identify areas for negotiation
• Simulate different proposals: Model the impact of proposed changes against your real revenue data
• Negotiate with leverage: Back your term proposals with data-driven insights

Empower your team

The provider organizations that do challenge payers in negotiations often engage consultants to carry out this work. Rather than rely on consultants that charge 20-25%+ of revenue uplift generated, provider teams using RevFind can leverage the robust payer contract knowledge and experience built into it.

Optimize your revenue

CFOs and managed care contracting leaders know that even a 1% improvement in rates can lead to a significant revenue uplift. But it takes accurate payer contract performance assessment and strategic negotiation of contract proposals to optimize revenue. RevFind’s contract management and modeling capabilities make taking charge of your contracts straightforward and empowering.