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.

This session explores key types of insurance plans commonly encountered in private practice, including private insurance, Medicaid, Medicare Advantage, Workers’ Compensation, ERISA, and cash pay options. Participants will leave with practical takeaways and strategies for managing these insurance 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.

This two-part module walks you through the full arc of payer negotiation—from confidently making your case to knowing when and how to walk away.

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.