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How to Negotiate with Payers – Tips from a Managed Care Expert
Blog Feature
PMMC Staff

By: PMMC Staff on September 6th, 2017

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How to Negotiate with Payers – Tips from a Managed Care Expert

Every profession has its set of experts. In the health industry’s managed care field, one of those experts is Susan Mego.

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Susan Mego

Currently serving as the Executive Director - Managed Care for The MetroHealth System and ACO Executive of MetroHealth Care Partners, Susan Mego’s knowledge and extensive experience in the field of healthcare management makes her an invaluable asset to the organization, a clinically integrated delivery system in Northeast Ohio. Susan’s leadership spans over managed care strategies, payer performance, population health initiatives, and contract negotiations with health plans, employers, and providers. Over the course of her career, Susan has enjoyed 20 years in health insurance industry management and 10 years in community/tertiary health system administration as well as serving as teaching faculty at Baldwin Wallace University, each contributing to her skill in educating professionals on the ins-and-outs of managed care negotiations.

Susan will share some of those negotiation tips during the PMMC sponsored webinar “How to Negotiate with Payers – The Four Key Components of Contracting.”

Susan will speak specifically on the topic of 4 key components of the negotiation process, including:

  • Composition Analysis
  • Performance – Benchmark against:
    • Original projections
    • Current/projected high volume services
    • Current market rate
    • Industry benchmarks
    • Leadership dependencies
    • Competing payors’ overall performance
    • Internal stakeholders’ viewpoints
    • Payer’s needs
  • Expectations
  • Strategy

Click here to watch the full webinar!