This module is an introduction to help you understand what matters to payers and where you have some control or negotiating power.  Our panel of experts will walk you through the issues and share contracting resources you can use.

Module 1 is now available and FREE TO ALL! Watch the video online or download the audio to listen on the go. 

This module introduces the range of insurance plans commonly seen in private practice, from ERISA and Medicare Advantage to Workers’ Comp and cash pay. Participants will gain insights into key regulations and requirements for each plan type, along with practical considerations for managing these variations in a clinical setting. 

Dive into your clinics’ financial information to establish a clear picture of your revenue and expenses and how your current payment contracts impact your bottom line. 

Explore alternate scenarios and model the financial implications to determine whether to consider in- or out-of-network opportunities and options.  

Explore options for providing out-of-network care, understand the pros and cons of choosing to go out-of-network, and get an understanding of the options available when you do.

Develop an action plan for evaluating current contracts, understanding key terms that should be negotiated, understanding market conditions that create favorable conditions for negotiating, and steps to determine if a new contract is favorable or not.

Understand the difference between collegial dialogue and illegal collusion.  Learn about the value and challenges of establishing formal Networks or IPAs and how to find resources and cooperative groups in your community.