Overview

NHPN has developed a comprehensive suite of cost-effective services that drive maximum value from your managed care contracts enabling hospitals and hospital owned provider organizations to reach their financial goals.

NHPN is committed to assisting hospitals in developing and executing effective managed care contracting strategies. Managed care contracts are a key revenue driver for any hospital. Considering the recent trend of multi-year contracts, being unprepared for negotiations can be very costly to hospitals. Developing a fact based managed care contract plan can be challenging considering limited internal resources and expertise.

NHPN offers a fact based managed care contracting solution based on technology-enabled analytics and extensive experience dealing with payers on a national basis. We provide the data and negotiation expertise to level the playing field. NHPN delivers contracting solutions that achieve the hospitals financial goals while maintaining a collegial working relationship with the payers.

Equally as important as having an effective managed care contracting strategy is the on-going performance monitoring of your contracts. Frequently contracts are not performing according to expectations and hospitals struggle to find the root causes. Inappropriate denials and underpayments contribute to this problem and overstretched central billing offices have difficulty keeping up. NHPN provides a technology based solution complemented by our experienced analytical staff and managed care auditors. We integrate seamlessly with your organization and provide minimal disruption to your operation. This provides an efficient and effective way to ensure you are getting the revenue you deserve from your contracts.