Payer contracting specialists
We negotiate insurance contracts for mental health and substance use disorder providers. Higher reimbursement rates, stronger terms, new network access.
We Negotiate with Every Major Payer
Insurance companies we help healthcare providers negotiate contracts with: Aetna, UnitedHealthcare, Anthem, Humana, Kaiser Permanente, Centene, Molina Healthcare, Highmark, Optum, Oscar Health, TRICARE
Behavioral health insurance contracting is the process of negotiating agreements between mental health or substance use disorder treatment providers and insurance companies to establish in-network status, reimbursement rates, and contract terms. Expert contracting ensures providers receive fair payment for the clinical services they deliver.
Most behavioral health providers don't realize they're leaving significant money on the table. Insurance companies count on providers accepting initial offers without negotiation. Our data shows that facilities handling their own contract negotiations typically accept rates 20-40% below market standards.
Comprehensive solutions
From initial contract analysis to ongoing optimization, we handle every aspect of your insurance relationships
Comprehensive review of your existing payer contracts to identify hidden opportunities, problematic terms, and areas for improvement.
Expert payer contract negotiation for behavioral health facilities, leveraging market data and strategic positioning.
Comprehensive support for maximizing your in-network participation and capturing every dollar you've earned.
Our mental health contracting services address the unique needs of outpatient clinics, group practices, and specialized therapy providers.
Expert substance use disorder contracting services and rehab center insurance contracting for facilities across the continuum of care.
We position your facility based on quality metrics, specialized services, and market needs to justify premium rates.
Using comprehensive market data and benchmarking, we build compelling cases for rate increases that payers can't ignore.
Our team's relationships with decision-makers at major insurers accelerate approvals and improve negotiation outcomes.
Representative engagement. Outcomes vary by payer, market, provider type, and contract position.
Behavioral health Medicaid contracting requires specialized knowledge of state-specific requirements, MCO relationships, and evolving regulations. Our team navigates these complexities to secure optimal contracts with government payers.
Complete Medicare contract negotiation and optimization for behavioral health services, including traditional Medicare and Medicare Advantage plans.
State Medicaid contract negotiation and MCO contracting expertise, ensuring compliance with varying state requirements and maximizing reimbursement opportunities.
Strategic guidance on value-based care arrangements, quality reporting requirements, and performance-based incentive programs.
Simple process
Our streamlined process ensures efficient execution while maximizing results
Comprehensive assessment of your current contracts and identification of improvement opportunities
Develop customized approach for negotiation and optimization based on your specific goals
Our team handles all aspects of contracting while keeping you informed of progress
Continuous optimization and support to maximize your insurance relationships
Contract opportunity review
Whether you’re pursuing your first agreements or improving existing terms, start with a focused review of your market, services, and payer priorities.
