Unlock the Full Value of Your CDM, Set Defensible Prices, and Leverage Transparency Data for Smarter Payer Negotiation
In the evolving landscape of hospital price transparency and reimbursement, strategic pricing and payer contract modeling are related but often disparate and misaligned initiatives. Strategic pricing is typically completed annually based on cost or market analysis with percent-of-charge reimbursement rates. In contrast, price transparency data and payer contract modeling are leveraged during negotiations with payers.
As a result, hospitals and health systems cannot capture the full value of restructuring their CDM, prices, and contracted rates to improve their financial position in the market.
This eBook will focus on the interplay between setting defensible and optimal prices in the CDM and leveraging transparency data for payer contract modeling, including the various decisions to make, stakeholders involved, and analytical tools needed to succeed.