Discover how to effectively prepare for and conduct successful negotiations with payors. This comprehensive four-part session will guide you through collecting the necessary data and mastering the negotiation process with a payor, ensuring you receive fair compensation for the care you provide to children.
NOTE: This series was originally presented at the 2023 NCE SOAPM Section H session. Although the content was excellent, it was not recorded. Therefore, PCC reunited the team to redo the session and ensure the pediatric community will have access to a recording that can be widely shared!
Part 1: Getting Your Data Ducks in a Row Chip Hart will guide you through the essential data needed to maximize your success when negotiating with insurance companies. There's nothing more powerful than a pediatrician armed with data!
Part 2: Finally at the Table - Managing Contract Negotiations What should you do when you have a payor at the table? Susanne Morgana Brennan will lead you step by step through the process of successfully negotiating with an insurance company. It is a lengthy process, and by the end of this session, you'll know all the steps.
Part 3: Understanding Business Implications - Navigating Possible Outcomes Paul Vanchiere will explain the business implications of your insurance negotiation. Specifically, you'll learn how to evaluate an offer from a payor and determine its impact on your business.
Part 4: Contracting Tips and Tricks - Practice Manager's Perspective Kimberly Brennan provides a real-world perspective. As a practice administrator, she'll offer actionable tools and guidance on creating and maintaining your practice's payer contracting program. This includes a simple Google Sheet template for contract organization.