Payer Strategy & Contracting
Ventra clients who re-negotiated payer contracts in 2024 achieved a 7% increase in revenue on average.
Meet with an ExpertPayer Strategy & Contracting
Ventra clients who re-negotiated payer contracts in 2024 achieved a 7% increase in revenue on average.
Meet with an ExpertBring us to the Table
Expert Advocacy and Negotiation
Reimbursement begins with the contract. Our Payer Strategy & Contracting team ensures yours are fair, in line with market benchmarks, and optimized to pay you appropriately for the services you deliver.
Data-Driven Approach
We leverage our vast database of rates and terms to build data-driven support for reimbursement strategy and contract negotiations.
Comprehensive Strategy
We take a full-spectrum view of your payer landscape, reviewing current contracts, payer performance, regional benchmarks, and regulatory changes.
Experienced Negotiators
Our team understands the markets and payer behavior, and we draw on our longstanding payer relationships to reach agreement on your behalf.
No Surprises Act
We use the NSA process to bring out-of-network providers to the table with reasonable rates. We win 80% of those cases.
Advocacy
We’ll fight for you when policy changes or payer behavior impact revenue and reimbursement.
Payer Performance
We stay engaged beyond the negotiation to track contract performance and aggressively work with payers to resolve any payment issues.
Policy Updates
We stay on top of regulatory and payer policy changes, engaging our Client Success and Service Delivery teams to proactively address issues that may impact revenue.
“A strong payer contract is our first line of defense against changing market conditions.”
— Shanna Howe , Vice President, Strategic Partnerships
The Ventra Health Advantage
Training, Expertise, and Technology That Put You in Charge
Ventra invests in the technology, education, and training that give you insights into your practice’s financial health. We partner with you to turn those insights into strategy.
Resources
- Becker’s Hospital Review: 2026 RCM Trend Report
As providers head into 2026, shifting regulations, disruptive payer tactics, rising patient financial strain, and rapidly evolving AI tools are … Read more - Doc-to-Doc Series: The Undermining of Emergency Medicine: Insurer Tactics, the Fragile Safety Net, and the Fight for Just CompensationBy Jamie Shoemaker, MD, FACEP Emergency physicians serve on the front lines of America’s healthcare safety net, providing essential, life-saving … Read more
- Coding Partnership Positioned Rhode Island Medical Imaging for Exponential GrowthOverview: Rhode Island Medical Imaging (RIMI) More than 90% of patients in the state of Rhode Island have their imaging … Read more
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