Payer contracts have a direct impact on practice revenue — yet most providers are locked into outdated or unfavorable agreements simply because negotiation is time-consuming and unclear. At Providers Health Management, we help you secure the reimbursement and terms you deserve by applying industry expertise, analytics, and strategic negotiation tactics.

Our goal is simple: empower providers with stronger contracts, clearer expectations, and sustainable financial performance.

Comprehensive Contract Analysis

Before any negotiation begins, we perform a deep, data-driven review of your current payer contracts. We identify gaps, outdated fee schedules, misaligned terms, and missed financial opportunities. Our analysis goes far beyond rate sheets — we examine structure, clauses, incentives, penalties, and value-based components.

Providers often discover revenue opportunities they never knew existed.

Our review includes:

  • Comparison to market benchmarks

  • Identification of underperforming CPT codes

  • Fee schedule and reimbursement modeling

  • Term and clause analysis

  • Value-based incentive review

  • Contract compliance verification

Outcome: A clear picture of your payer landscape and where you should demand more.

Strategic Negotiation

Our team negotiates directly with payers on your behalf, using both data and industry relationships to push for better reimbursement and more favorable terms. We advocate for you as if we were part of your practice — assertively, professionally, and with a deep understanding of payer strategies.

We ensure you never walk into a negotiation at a disadvantage.

Our negotiation strategy covers:

  • Reimbursement rate increases

  • Value-based care terms and incentives

  • Timely payment provisions

  • Clearer authorization and referral rules

  • Reducing administrative burdens

  • Multi-payer alignment for consistency

Outcome: Contracts that strengthen your financial foundation, not weaken it.

Value-Based Contract Optimization

As payers shift toward outcomes-based care, practices must adapt their contracting strategy to remain competitive. We help you structure your agreements to maximize value-based incentives without taking on unnecessary risk.

Our approach ensures providers are rewarded fairly for delivering high-quality care.

Support includes:

  • Quality measure alignment

  • Incentive pathway modeling

  • Performance metric evaluation

  • Reporting and documentation guidance

  • Risk-sharing strategy recommendations

Outcome: More predictable earnings and contracts designed for modern healthcare.