612-488-3770
Get Started

Category: Blog

Our Blog

Blog

The Cost of Ignoring Payer Contracts: Hidden Risks Providers Overlook

Payer contracts are the foundation of a healthcare facility’s financial stability. They determine reimbursement rates, payment timelines, and the rules that govern your relationship with insurance companies. Yet many providers sign agreements and never revisit them, leaving themselves open to revenue loss, compliance risks, and strained payer relationships. Overlooking your contracts may feel easier in the short term, but the hidden costs add up quickly. Here’s why regular reviews and updates are essential. Financial Risks of Ignoring Payer Contracts When...

Read More
Blog

Why Annual Payer Contract Reviews Are a Must for Providers

Payer contracts directly shape the financial health of every healthcare facility. These agreements determine reimbursement rates, payment timelines, and the rules that guide how providers and payers work together. Over time, markets shift, regulations change, and payers update their policies. Without regular reviews, providers risk falling behind and losing revenue opportunities. That’s why providers must complete an annual review of payer contracts; it’s essential, not optional. Let’s look at why these reviews matter, how they prevent revenue leakage, and how...

Read More
Blog

Credentialing During a Facility Merger: What to Know

Merging healthcare facilities can be a smart move for growth, efficiency, and expanding patient access. Operational planning and financial alignment often take priority, but many organizations overlook one crucial piece: credentialing. When facilities merge, credentialing becomes more than routine paperwork. It plays a direct role in maintaining compliance, protecting revenue, and ensuring providers stay in-network with insurance payers. If handled incorrectly or too late, credentialing issues can cause payment delays and service disruptions. Below, we’ll break down how credentialing impacts...

Read More
Blog

How to Negotiate Against One-Sided Insurance Contracts

Health insurance contracts are critical for your facility’s financial health, but not all contracts are created equal. Some agreements include language that heavily favors the payer, often at the expense of the provider. These one-sided terms can lead to lower reimbursement, delayed payments, and added administrative stress. Understanding what to look for is the first step toward better contract outcomes. Below, we’ll explain how to spot unfair contract language and how to negotiate better terms that protect your practice. How...

Read More
Blog

What to Avoid When Merging Healthcare Facilities

Merging healthcare facilities can offer new opportunities for growth, patient access, and financial efficiency. However, these benefits come with real risks. Poorly managing the process of healthcare mergers and acquisitions can cause billing disruptions, damage payer relationships, and lead to costly delays. Whether you're taking over a location or joining several facilities into one, you need to know what mistakes to avoid. Below, we’ll break down the most common pitfalls during healthcare acquisitions and how to stay clear of them....

Read More
Blog

How Bad Payer Contracts Can Affect Your Revenue

Payer contracts shape the financial foundation of your healthcare facility. These agreements define your reimbursement rates, set payment timelines, and list the services they cover. Bad or outdated contract terms can make your facility lose thousands in revenue—often before you notice the problem. Let’s look at how bad payer contracts can hurt your finances and operations—and how the right help can prevent these problems. 1. Low Reimbursement Rates Lead to Shrinking Margins One of the most common signs of a...

Read More
Blog

When Should You Bring in a Contract Negotiator?

Managing payer contracts is a critical but often overwhelming task for healthcare providers. Many facilities handle contract discussions in-house, but eventually, they need a professional to step in and provide essential support. If your organization is dealing with slow negotiations, confusing payment terms, or sudden revenue loss, it might be time to get outside help. A skilled partner can lead your insurance payer contract negotiation process with confidence and clarity. Here are the signs that it’s time to bring in...

Read More
Blog

How Often Should You Review Your Payer Contracts?

Payer contracts are the foundation of a healthcare facility’s financial health. These agreements set your reimbursement rates for patient services—and even small...

Read More
Blog

Helpful Tips from Experienced Contract Negotiators

Payer contracts define how much healthcare providers are reimbursed for their services. Securing strong agreements is essential for financial stability and long-term...

Read More