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Innehåll tillhandahållet av Off the Chart: A Business of Medicine Podcast and Medical Economics. Allt poddinnehåll inklusive avsnitt, grafik och podcastbeskrivningar laddas upp och tillhandahålls direkt av Off the Chart: A Business of Medicine Podcast and Medical Economics eller deras podcastplattformspartner. Om du tror att någon använder ditt upphovsrättsskyddade verk utan din tillåtelse kan du följa processen som beskrivs här https://sv.player.fm/legal.
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S1 Ep39: Negotiating with payers with Scott Dewey, chief managed care officer at PayrHealth

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Manage episode 438496688 series 3594852
Innehåll tillhandahållet av Off the Chart: A Business of Medicine Podcast and Medical Economics. Allt poddinnehåll inklusive avsnitt, grafik och podcastbeskrivningar laddas upp och tillhandahålls direkt av Off the Chart: A Business of Medicine Podcast and Medical Economics eller deras podcastplattformspartner. Om du tror att någon använder ditt upphovsrättsskyddade verk utan din tillåtelse kan du följa processen som beskrivs här https://sv.player.fm/legal.
Medical Economics Managing Editor Todd Shryock sits down with Scott Dewey, chief managed care officer at PayrHealth about the best strategies for payer negotiations.
Music Credits: Gypsy Jazz Swing by tunes2go - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com
The Joy of Being by Duke Herrington - stock.adobe.com

Introduction to Negotiations (00:00:12)

Overview of the podcast and introduction of the speakers discussing payer negotiations.

Starting Preparation for Negotiations (00:01:03)

Importance of having a strategy and understanding leverage before entering negotiations.

Timing for Preparation (00:04:04)

Advice on how far in advance physicians should prepare for payer negotiations.

Contract Length Considerations (00:05:11)

Discussion on the pros and cons of long-term versus short-term contracts.

Negotiating Power of Smaller Practices (00:06:47)

Insights on how smaller practices can find leverage against larger payer organizations.

Dealing with Non-Negotiable Contracts (00:08:54)

Advice for practices facing contracts labeled as "not negotiable."

Prior Authorizations in Contracts (00:09:53)

Strategies for negotiating limitations around prior authorization requirements.

Unilateral Amendments in Contracts (00:12:31)

Discussion on the commonality of unilateral contract amendments by payers.

Common Contract Mistakes (00:14:11)

Overview of frequent mistakes made by physicians in contract agreements.

Value-Based Care Contracts (00:16:34)

Differences between value-based care contracts and traditional fee-for-service agreements.

Final Contract Considerations (00:19:48)

Importance of getting all agreements in writing and understanding contract updates.

Conclusion (00:21:43)

Wrap-up of the discussion and thanks to the guest for sharing insights.
  continue reading

94 episoder

Artwork
iconDela
 
Manage episode 438496688 series 3594852
Innehåll tillhandahållet av Off the Chart: A Business of Medicine Podcast and Medical Economics. Allt poddinnehåll inklusive avsnitt, grafik och podcastbeskrivningar laddas upp och tillhandahålls direkt av Off the Chart: A Business of Medicine Podcast and Medical Economics eller deras podcastplattformspartner. Om du tror att någon använder ditt upphovsrättsskyddade verk utan din tillåtelse kan du följa processen som beskrivs här https://sv.player.fm/legal.
Medical Economics Managing Editor Todd Shryock sits down with Scott Dewey, chief managed care officer at PayrHealth about the best strategies for payer negotiations.
Music Credits: Gypsy Jazz Swing by tunes2go - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com
The Joy of Being by Duke Herrington - stock.adobe.com

Introduction to Negotiations (00:00:12)

Overview of the podcast and introduction of the speakers discussing payer negotiations.

Starting Preparation for Negotiations (00:01:03)

Importance of having a strategy and understanding leverage before entering negotiations.

Timing for Preparation (00:04:04)

Advice on how far in advance physicians should prepare for payer negotiations.

Contract Length Considerations (00:05:11)

Discussion on the pros and cons of long-term versus short-term contracts.

Negotiating Power of Smaller Practices (00:06:47)

Insights on how smaller practices can find leverage against larger payer organizations.

Dealing with Non-Negotiable Contracts (00:08:54)

Advice for practices facing contracts labeled as "not negotiable."

Prior Authorizations in Contracts (00:09:53)

Strategies for negotiating limitations around prior authorization requirements.

Unilateral Amendments in Contracts (00:12:31)

Discussion on the commonality of unilateral contract amendments by payers.

Common Contract Mistakes (00:14:11)

Overview of frequent mistakes made by physicians in contract agreements.

Value-Based Care Contracts (00:16:34)

Differences between value-based care contracts and traditional fee-for-service agreements.

Final Contract Considerations (00:19:48)

Importance of getting all agreements in writing and understanding contract updates.

Conclusion (00:21:43)

Wrap-up of the discussion and thanks to the guest for sharing insights.
  continue reading

94 episoder

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