Managed care consulting
Align payor strategy to financial reality
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.
Managed care strategy built for providers not payors
- Payor yield assessment and benchmarking with transparency and other data sets
- Payor performance analytics
- Negotiation strategy and implementation
- Dispute readiness
- Go to market campaigns for payor disputes
FAQs
Do you support both commercial and government payor strategy?
Yes. We work across commercial, exchange, Medicaid, and Medicare Advantage contracts — including delegated risk and value-based models.
Can Unlock lead a full payor portfolio review?
Absolutely. We assess performance, renegotiation timelines, and strategic alignment across your payor contract portfolio. This roadmap is essential for long-term planning and alignment with growth.
What happens if a negotiation turns hostile?
We’ve all been there. Our team includes strategists and communications experts who help you prepare for — and manage — public disputes. Our founder, Brandon Edwards, pioneered the use of strategic communications to help level the playing field against aggressive, all-powerful payors. These programs have evolved substantially since he pioneered this work back in 2002.
Do you replace internal managed care teams?
We work as an extension of your team, bringing outside perspective and tactical horsepower to the moments that matter most. Some organizations need partial- or full-outsourcing and we can meet those needs too.
Let’s talk strategy.
Your next negotiation, dispute, or market move deserves more than a generic playbook. We’ll bring you data and insights, clarity, and confidence that your decision meets the needs of your community as well as your organization. Reach out and let’s start a conversation.