Contracting strategy can involve a number of key study questions:
East Coast Academic Health System
BDC Advisors developed a strategic response for an academic health system in Massachusetts upon a major health plan going into receivership. Results of the payer strategy achieved better payer / provider relationships, over $60 million in incremental revenue to the health system, and new long-term contractual terms.
New England Academic Health System
BDC Advisors helped a seven hospital integrated academic health system restructure its contract relationship with its most important payer, leading to revenue increases of $45 million over two years. The engagement began with a detailed understanding of the contract’s price realization, and led to an analysis of performance failures and decision to cancel the contract for performance. The consequent arbitration resulted in a settlement in our client’s favor and led to restructuring and reinstatement of the contract on much more favorable terms.
West Coast State University Health System
We undertook a comprehensive evaluation of contracting strategy for this complex state university hospital system, encompassing five academic medical center campuses. The project required a careful balancing of the needs and market positions of individual campuses with the state-wide opportunities across the system. Key strategic opportunities involved system-wide efforts to help consolidate and better balance a fragmented payer market.