Article Archive

New Negotiators Don't Lose Deals Over Rates. They Lose Them Over Words.

Eight managed care contracting terms every new negotiator, benefits manager, and plan sponsor needs to know before their first payer meeting

AI Isn't Coming for Your Contracting Job. Complacency Is.

What managed care and payer relations professionals need to change before artificial intelligence changes it for them

The Denial Nobody Owns Is the One Costing You the Most

Why payer contracting must collaborate across patient access, coding, billing, collections, and revenue integrity to close the revenue cycle's most expensive blind spot

Nobody Was Checking. One Analyst Found $2 Million.

The most innovative payment methodology means nothing if nobody checks whether it works. Without that, it's not an innovation. It's an assumption.

Front-Line Staff Are Costing You Millions. It's Not Their Fault.

How healthcare organizations can turn payer relationships into revenue strategy: denial reduction, cash acceleration, and staff education as infrastructure

Your Payer's Directory Is Wrong. Your Contract Doesn't Care.

Why the most-used document in managed care gets the least attention by your contracting team.

You Don't Have a Contract Portfolio. You Have a Pile.

The payer contracts were never the asset. What they add up to is the asset, and until somebody does the math, you're just managing a very well-organized pile of documents.

Walking Away Isn't a Strategy. It's What You Do Without One.

When the only remedy available is contract termination, that is what gets used. Not because it is right, but because it is the only thing left in the drawer.

You Negotiated With People. A Computer Denied Your Claim.

Your appeal rights were written for a clinician who would read the chart. The denial came back in eleven minutes, so in this case, nobody did.