Managed Care Contracting Consulting for Healthcare Providers
Managed care contracts determine how much you get paid and under what conditions — making them one of the most consequential documents in your organization. Yet most healthcare providers operate on contracts that are years out of date, below-market, or poorly structured for their actual service mix. Southland Healthcare Advisors helps DME companies, physician practices, pharmacies, and ancillary providers analyze, renegotiate, and optimize their managed care agreements to maximize reimbursement and reduce administrative burden.
How We Help You
Audit your current managed care contracts to identify below-market rates, unfavorable terms, and missed billing opportunities
Prepare a data-driven negotiation strategy based on your service volume, payer mix, and market benchmarks
Draft or review contract language to ensure terms are defensible, compliant, and operationally sustainable
Support credentialing and re-credentialing processes that are holding up contract execution
Identify new payer relationships that align with your patient population and growth strategy
Train your billing and contracting staff on contract interpretation and compliance
Our Approach
Step 1: Contract review
We assess your current agreements for rate adequacy, term structure, and payer performance
Step 2: Market benchmarking
We identify what comparable organizations are achieving with the same payers
Step 3: Negotiation strategy
We build your case with data and help you prepare for payer discussions
Step 4: Implementation support
We help you operationalize new contract terms and update your billing workflows accordingly
Who This Is For
We serve DME companies, pharmacies, physician groups, laboratories, home health agencies, and ancillary providers who are entering new payer relationships, renewing existing contracts, or recovering revenue lost to unfavorable terms.