What we do
Clarity, strategy, and negotiation power across every payor relationship
Unlock delivers managed care consulting designed for healthcare providers. We support hospitals and health systems, physician groups, diagnostic and outpatient providers, digital health companies, and specialty care groups through contract modeling, payor negotiations, dispute resolution, and performance optimization — ensuring your contracts align with financial strategy and mission.
Eight capabilities built for provider realities
When it comes to managed care, no single solution is enough. Unlock offers eight tightly connected capabilities — built to help healthcare organizations secure better rates, participate in the right networks, and ensure contract performance holds up under pressure.
Revenue strategy, including governance and AI
Unlock helps healthcare providers move beyond collections to a proactive, system-wide strategic revenue design. We align payor, access, and operational strategies to help you grow the pie, not just fight for the slice you’ve already earned.
Managed care consulting
The right revenue strategy sets your organization up for success. We help you renegotiate or contract with the right payors, participate in the right networks, and secure the right terms — so you can protect your mission and goals in any market environment.
Negotiation — advisory and interim, including subscription
Unlock brings decades of negotiation experience to your organization — whether we’re leading the process or supporting your team behind the scenes. From prep to close, we bring strategy, data and insights, positioning, and composure to every phase.
Contracting strategy — fee for service, value-based care, and risk
Contracting isn’t just about rates — it’s about strategy, language, and the ability to enforce and measure as well as the rates. We help providers secure rates, language, and contract terms that protect revenue, clarify expectations, and position your organization for growth, sustainability, and refined market participation.
Benchmarking & analytics — using transparency data and proprietary analytics
We help providers measure what matters — from rate performance to denial trends to total value across payor contracts. With Unlock, analytics are built for action — not just observation.
Strategic communications, including payor termination
Whether you’re negotiating with a major payor or navigating a public dispute, every word matters. We help healthcare organizations lead with consistent messaging — internally, externally, and under pressure.
Strategic planning & implementation
We help providers build and/or operationalize payor strategy. That means clear priorities, coordinated workstreams, and stakeholder alignment — so your managed care goals don’t stall after the slide deck. We can bring your strategy to life with patient acquisition marketing no one else can do. Our current work results in a new patient appointment being scheduled every minute of every day of the year.
Change management
From network exits and value-based transitions to new leadership and enterprise transformation, big and small shifts demand internal clarity and alignment. We help healthcare organizations manage change with empathy, structure, and precision—so your strategy doesn’t get lost in translation and adoption becomes second nature.
Unlock Health also offers the most comprehensive healthcare marketing agency in the industry. This helps bring your managed care strategy to life, acquiring and retaining the patients that turn your modeling and contracting strategy into volume and financial sustainability.
Want to speak with someone about your managed care strategy?
Complete the form on our Contact page and a member of our consulting team will follow up within one business day.