Payer Strategy & Contracting

Highly skilled strategists with the data, expertise, and relationships to negotiate the most competitive reimbursement rates

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Bring 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 marketing conditions.”

—Sarah Allison, Vice President of Payer Strategy and Contracting

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.

Your Team of Experts

Ventra’s white-glove promise begins with our investment in hiring experienced and exceptionally talented leaders. Leverage their expertise to solve complex operational, regulatory, and reimbursement challenges.

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Flexibility and Collaboration

Your practice is unique, and you need a partner who understands that. Our support is nimble to go wherever the data takes us.

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Interactive Dashboards

Using vSight™️, our industry-leading data & analytics platform, Ventra clients have access to real-time performance metrics through dashboards that are updated daily.

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Metrics That Matter

Ventra’s five core service metrics are built into our reporting structure telling a complete story, measuring overall revenue cycle health and providing actionable insights for mitigation and improvement.

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