2020 Medtrade

Payor Contracting: How to navigate Narrow & Closed Networks

Armando Cardoso, Dave Siegel and Laura Cabe will discuss and explore how to get into closed and/or narrow networks.  "Closed" insurance panels are costing providers money and they may not even realize it. By blocking their access to their patients, payors are closing the door on provider's reimbursement opportunities. But, providers don't have to take "no" for an answer. There are proven ways for providers to get on desired "closed" insurance panels, they just have to know how. That's where Armando Cardoso and Laura Cabe can help. They have gathered the most successful payor panel access tactics and want to share them with you. In addition, Dave Siegel will share his personal experience as an owner of a national DME company with obtaining contracts with payers with both narrow and closed networks.  Attendees will learn how to get into closed and narrow networks. Attendees will also learn how to effectively negotiate payor contracts by building compelling payor value propositions. Armando will discuss key contracts' language that results in ways to effectively and more easily administer payor contracts.  Learn what to look out for, how to maximize fee schedules, and when to negotiate payor contracts' language. If you're feeling overwhelmed about how to get into closed and narrow networks then this session is for you.  When you get presented with a "no" and you are not sure about what to do next, then this session is a "must attend"!