Payer Contracting Checklist: 10 action items to optimize your negotiations
This 10-step checklist helps medical practices understand the journey to achieving optimal contracts from payers.
Created by healthcare consultant Doral Davis-Jacobsen, MBA, FACMPE, founding partner of Prosper Beyond, this checklist outlines key tasks and action items before you begin negotiations.
Learn more
- MGMA Consulting — The industry leader in creating meaningful change in healthcare, one organization at a time
- Certificate Program: Payer Contracting — This program, consisting of three, two-hour sessions plus a closing session, is eligible for ACMPE, ACHE, CPE (live only) and CEU credit, and can help you achieve the MGMA Financial Management Certificate (FMC) credential.
- "Developing a payer contract termination strategy" — Get more insights on the steps for terminating a payer contract as part of your overall contracting strategy
Written By
Doral Davis-Jacobsen, MBA, FACMPE, is a Partner at Prosper Beyond LLC, a specialized healthcare consulting firm nestled in beautiful Asheville, North Carolina. Doral is a seasoned healthcare consultant with over 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. She is a popular speaker and author, always looking around the corner to help her clients prepare for “what’s next.” Doral is known for assisting practices with next generation managed care contract negotiations, payment reform and revenue cycle. She is a Fellow in the American College of Medical Practice Executives. Doral serves as the Chair for the North Carolina MGMA Payer Contracting Committee 2019. Doral has written numerous articles on medical practice revenue cycle, managed care contracting and payment reform and is a frequent speaker at national, regional and local healthcare forums. Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in October 2016.