Community Hospital
The situation A nonprofit community hospital faced mounting financial challenges driven by inflation and economic pressures. To remain sustainable, the hospital needed to renegotiate its contract with its largest payor, an organization known for aggressive public disputes. Market benchmarking revealed that the hospital was receiving up to 40% lower reimbursement rates than competitors for many […]
West Coast Academic Medical Center
The situation Like many health systems nationwide, our client—an academic medical center—was facing serious financial pressures in a post-pandemic economy. Rising drug and labor costs, supply chain challenges, and inflation were straining operations. These issues were intensified by outdated and unsustainable contracts with the system’s largest payors. The challenge The client had not renegotiated its […]
Regional Health System
The situation A large regional health system was under significant financial pressure from rising costs and inflation. Since its last negotiation, hospital and physician expenses had increased by 20%, driven by supply costs and labor shortages. To offset a portion of these inflationary pressures, the health system sought a modest rate adjustment from its largest […]
Multi-Specialty Group
The situation A prominent multi-specialty group operating across 20 states was preparing for a complex negotiation with a national benefit manager. Because the provider was required to issue a six-month termination notice, they needed a strategic partner to guide comprehensive planning, targeted audience engagement, and market-based insight to strengthen their negotiation strategy. The challenge Facing […]