Welcome
Welcome to Drake Consulting - Managed care consulting
Specializing in Negotiating with Health Insurance Plans
Welcome
A Value-Based Approach to Managed Care Contracting
Drake Consulting provides managed care consulting support to assess the current state of your managed care operations (people, processes & technology) and executed agreements, assist clients in identifying executable improvement opportunities, and provide implementation assistance throughout the remediation and improvement process. Our experts develop improvement options that are focused on increasing net patient revenue as well as operational effectiveness. We advise our clients on all elements of contracting, including:
- Strategic planning
- Analysis and comparison tools
- Managed care/revenue cycle
- Reimbursement rate benchmarking
- Contract management/modeling
- Internal controls and communication plans
- Pre-negotiation preparation
- Deep Industry Expertise
Managed Care Contracting Review and Implementation Assistance
With continued downward pressure on managed care reimbursement rates and the move to increasingly complex payment schemes, healthcare providers are seeking advanced assistance for their managed care needs. We can help you to assess your current state and select the appropriate approach to maximize underpayment recovery and modeling during negotiations with third-party payors.
How We Begin
We begin by assessing the managed care strategy and contracting infrastructure. Then we assess the status of significant agreements and:
- Compare negotiated rates among existing agreements, Medicare and average area commercial reimbursement
- Understand business impact of key contract terms and conditions
- Determine potential improvement opportunities and related implementation plan
- Take action
