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Beyond the Rates: The Contract Terms That Shape Reimbursement
BDC Advisors helps health systems evaluate existing contract language, identify risks, and translate findings into negotiation strategies. We lead managed care contract negotiations, work alongside internal teams, or advise behind the scenes, from initial assessment through agreement completion.
Carrie Knowles-Atkinson
Oct 286 min read


Managed Care’s Forgotten Bargain: Discounts in Exchange for Volume
Alexandra Criscione, Director If a payer steers patients away from your health system, what is your discount buying? The payer wants the discretion to designate your health system as out-of-network while retaining your in-network discount. You receive discounted reimbursement while patients receive financial incentives to go elsewhere. Before you sign, ask the direct question: What are you receiving in exchange for the discount? That question gets to a bargain that has
Alexandra Criscione, Director
Oct 64 min read


Restoring Margin When Payers Won’t Close the Gap to Cost
Alexandra Criscione, Director, BDC Advisors If you are a health system CFO, you are likely being asked a harder question than you were five years ago. Not simply: “Can we get the payer renewal done?” But: “Will this renewal sustain the enterprise?” That is a different question. And it requires a different way of thinking. For years, traditional renewal strategies assumed a relatively stable environment: predictable labor costs, manageable inflation, modest annual rate movemen
Alexandra Criscione, Director
Jul 83 min read
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