The Unlock Health team brings unparalleled experience in managed care strategy, contract negotiations, contract modeling, and analytics. When negotiations are difficult or contentious, our strategic communications approach helps you get what you need. You protect your brand reputation while also putting pressure on the payor for a fair settlement.

Health systems and healthcare providers across the country are battling significant financial headwinds. Brutal inflation, increasing labor and drug costs, staffing, and supply chain shortages are all taking a toll. At the same time, payors have become more aggressive. Payors are demanding rate cuts and reducing yields through many strategies including denials, prior authorizations, and payment policies.

Organizations with strong payor contracts face enormous pressure right now.  Those with weak contracts must fix them quickly or face being sold off to a larger organization or dismantled.  Finally, navigating the landscape right now in Medicare Advantage requires deep expertise and experience. You must have a strategy, a business case, and a communication plan for why you are (or aren’t) contracted. Some of the largest names in the business have taken hits to their brands because they underestimated the challenge.