Notes from the work.
Writing on managed care contracting, payer behavior, price transparency data, and what we're seeing in the files.
Free Excel tool
ASC Case Cost & Margin Analysis Template
Model case-level reimbursement, direct expenses, contribution, and margin in an editable workbook.
Payer Contracting
What happens to your payer contracts when practices merge?
Ensure you aren't leaving money on the table when your practice or ASC changes hands.
Read more →Medicare Payment Policy
CY2027 OPPS ASC Proposed Rule Overview
The CY 2027 OPPS/ASC Proposed Rule is a negotiation leverage map, not just a payment update.
Read more →Payer Contracting
Price Discipline Part 1: Why Your Payers Know More About Your Rates Than You Do
Part 1 of our series on Pricing Discipline - why it matters in healthcare.
Read more →Payer Contracting
What community healthcare CFOs should know about the Arizona-MultiPlan price fixing dispute
The State of Arizona filed suit against eight insurers alleging a price fixing scheme through Multiplan.
Read more →No Surprises Act & IDR
Your Payer's QPA May Not Reflect Market Reality
HHS recently finalized a rule changing the economics for out-of-network dispute resolution. Here's what matters.
Read more →Payer Contracting
How to Use Transparency-in-Coverage Data for Payer Negotiations
Payers have had visibility into market pricing for years. Transparency-in-Coverage data means providers finally can too — and how you use it changes everything about the negotiation.
Read more →