Payer Strategy & Contracting
Advocacy-Driven Contracting for Maximum Reimbursement
Ventra clients who re-negotiated payer contracts achieved a 7% increase in revenue on average. Payer contracts are among the most consequential, yet most overlooked, drivers of revenue cycle performance. We combine deep reimbursement expertise, market benchmark data, and hands-on negotiation support to help facility-based physicians secure rates that reflect the true value of the care they deliver — and build contracts that hold up over time.
Expert Advocacy and Negotiation
Reimbursement Starts With Strong Payer Contracts
Data-Driven Approach
Leverage industry-leading reimbursement benchmarks and contract data to support smarter payer negotiations.
Comprehensive Strategy
Evaluate contracts, payer performance, market benchmarks, and regulatory changes to identify opportunities for improvement.
Experienced Negotiators
Our experts understand payer behavior and negotiate on your behalf to help secure fair reimbursement.
No Surprises Act
We leverage the NSA process to pursue reasonable out-of-network reimbursement rates. We achieve favorable outcomes in approximately 80% of cases.
Advocacy
When payer policies or market changes affect reimbursement, we help protect your revenue.
Payer Performance
We monitor contract performance and address payment issues before they impact revenue.
Policy Updates
Stay ahead of payer and regulatory changes with proactive guidance from our reimbursement experts.
Shanna Howe
Vice President, Strategic Partnerships
Training, Expertise, and Technology That Put You in Charge
Ventra combines advanced technology, industry expertise, and actionable insights to help you understand your financial performance and make informed decisions.
Interactive Dashboards
Access real-time performance metrics through vSight™, Ventra’s industry-leading analytics platform. Daily dashboard updates give you visibility into the metrics that matter most.
AI-Powered Intelligence
Powered by vCision™, Ventra’s AI agents help identify trends, surface opportunities, and support faster, data-driven decision-making across the revenue cycle..
Metrics That Matter
Our reporting framework is built around five core service metrics, providing a clear view of revenue cycle performance and actionable insights to drive improvement.
Your Team of Experts
Work with experienced reimbursement, operational, and regulatory specialists who help solve complex challenges and uncover opportunities for improvement.
Flexibility and Collaboration
Every practice is different. We tailor our support to your goals, adapting strategies and recommendations as your needs evolve.
Resources
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Find Out More About Ventra Health
Meet our team and learn more about our services.
