Managed Care Contracting

If you are looking for a seasoned expert in the evaluation, negotiation, and implementation of managed care agreements, Trillium Resources has you covered.  We’ve represented healthcare providers in hundreds of negotiations, enabling our clients to use their power and leverage to its fullest potential in the battle to be treated fairly by their payer partners.  Managed care agreements can either be a source of liability and hassle or they can be a powerful tool in the struggle to achieve and maintain financial viability.  Our process includes:

• Development and implementation of a customized Managed Care Strategy
• Evaluation of contract language (“legalese”)
• Analysis of payer reimbursement and payment methodologies
• Assistance in the identification of reimbursement targets
• Negotiation of key contractual components (rates, language, policies)
• Identification of payer non-compliance and development of contract implementation/monitoring tools
• Healthcare Provider advocacy when payers prove to be “difficult”

Our overall goal is to maximize revenue, reduce administrative hassles, and to strengthen the relationships between health care organizations and their payer partners.