Contract Secured- Success Story Part 1
Contract Secured- Success Story Part 1
Securing a contract with a government or commercial health plan could mean millions in increased revenue for your organization. Unfortunately, the process of securing a contract can pose some challenges and can very quickly become a daunting, discouraging and time consuming task. If you have been unable to secure a contract and would like the expertise of our highly qualified senior contract negotiators, contact us.
Please consider the following case study as just one example of the many United Physician Services success stories.
The Problem- Unrecognized Value: A national surgical wound care organization was adding value to the medical communities across the country by being only 1 of 2 physician groups in the United States to provide surgical procedures at the patient’s bedside. The organization performs these surgical procedures at a number of facilities, including skilled nursing homes, rehabilitation facilities, long term care facilities and at the patients’ homes. The types of services this group provides is out of the scope of practice for RNA’s, Mid-Levels and Family Practice providers, the surgical group filled a significant care gap when in their absence, the patients were not being provided the appropriate level of care and often times the patient’s condition worsened or they had to be transported to the hospital for outpatient surgery. This adds an unnecessary burden of cost to the health plan for the payment of transportation to and from the outpatient surgical center. It also adds unnecessary costs for the use of a surgical outpatient facility in an environment where we desperately need to improve patient outcomes and drastically reduce cost in our current healthcare system. Additional value is also created when the patient who is often immobile does not have to be inconvenienced and can be treated at the bedside without the added stress of being moved and having to be treated in an unfamiliar environment by people they do not know. .
These facts alone made it clear to us that the mobile surgical wound care organization was filling an obvious need in the medical community and was simultaneously saving the health plans a significant amount of money by treating the patients at their bedside. They also improve patient satisfaction as the patient is treated in an environment that they are familiar with. Even so, the organization was being denied a contract by the health plans with the reason being that there was no need for their services. The health plans had it covered!
The Solution- Contract Acquired and Thousands of Dollars Regained: After exhausting their options and loosing extensive amounts of money by not being contracted with many health plans and often times providing care at no charge to the patient, the organization came to us to help them get the contract they needed. Our expertise, persistence, confidence in our client, and our proven system for negotiating with health plans allowed us to acquire the contract no one else was able to get. Furthermore, we were able to negotiate 24 months of reimbursement that had previously been denied for payment based on services that had been provided for all patients on that particular government health care plan! This amounted to over $100,000.00 in recovered revenue. And these two wins were only the beginning of the financial advantage that this contract is delivering to the client. In fact, with the surgical wound care’s marketing efforts, the contract is estimated to bring in over $200,000.00 per year.
United Physician’s Services’ Expertise
As evidenced by just one case study of many, we have the internal expertise to professionally challenge health plans’ decisions and provide proof of a network need. Learn more about how United Physician Services secured the contract for the organization in “We Don’t take ‘No’ for an Answer- Success Story Part 2.”
At United Physician Services, we know the internal decision making process of healthcare plans, and we know how to assist you in presenting your value in such a way that can help you not only secure your contract, but also renegotiate it each year as your physician practice’s needs expand.
Schedule your Free 30-minute Consultation Today! Our qualified senior contract negotiators are approachable and honest and won’t take on a client we don’t believe we can assist. We can identify whether we can assist your contract negotiations over the phone and begin the conversation about bringing additional value to your practice. Contact us to schedule your free 30-minute consultation today.