Payor Contracting & Reimbursement

ECG’s roots in payor contracting run deep, making us one of the most effective healthcare contracting and reimbursement firms in the country.

Managing the increasingly complex reimbursement models of commercial and government payors is absorbing elevated levels of hospital resources – and with no assurances that contracts are tenable or will lead to financial stability. With the emergence of risk-based payment structures, previous models and tools that served organizations well for years need to be revisited. Contracting decisions must now account for your hospital, ambulatory surgery center, or medical group’s preparedness for value-based reimbursement and clinical integration.

ECG has decades of experience with managed care and other commercial and government payor strategies. Our work in more than 40 states across the nation has enabled us to build relationships with major health plans in multiple regional markets, leading to insights and expertise that we bring to every client engagement.

Our team is continually honing their strategic and technical skills to successfully usher clients through reimbursement strategies, price negotiations, and methodology changes. And our ability to understand the issues that are important to both providers and payors affords us insight into the market dynamics impacting provider reimbursement and the technical skills needed to manage and optimize payor revenue streams.