Consulting, Payer Contracting, and Management


Our team of managed care contracting experts, educated in negotiation strategies at Harvard Law School and the University of Notre Dame, work with clients to develop and implement highly effective negotiation strategies. 

OHC’s clients benefit from our team's vast experience in negotiating thousands of managed care contracts, while building collaborative relationships with local and national payors in over 40 states. The team's acumen of payor contracting strategies, having worked as negotiators at Anthem/WellPoint and CIGNA, result in superior results with greater than $800M in negotiated revenue gains. Many commercial health insurance companies and third-party payors recognize and value our team’s extensive market knowledge and expertise, often leading to collaborative discussions on alternative performance incentive programs and reimbursement terms to enhance their networks. We work with clients to develop a comprehensive contract assessment and strategic negotiation plan prior to beginning the contracting process. The contract assessment and negotiation plan includes: 

• Contract language and rate analysis 
• Market due diligence 
• Local, Regional, and National trends 
• Compensation and pricing tools 
• Contract matrix tracking and management 
• Out-of-network vs. In-network benefit analysis

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Compliance

Our services revolve around compliance, and we are committed to making compliance an essential part of our company. Compliance ranks at the top of our organizational culture, which improves the quality of our service and company.

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Contract Negotiations

The team's acumen of payor contracting strategies, having worked as negotiators at Anthem/WellPoint and CIGNA, result in superior results with greater than $800M in negotiated revenue gains.

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Payer
Contracting

OHC’s clients benefit from our team's vast experience in negotiating thousands of managed care contracts, while building collaborative relationships with local and national payers in over 40 states.

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Clinical Productivity

Successful businesses are the ones that optimize their automation capabilities to improve efficiency. We help in this process at every step.

Compliance is key

Our services revolve around compliance, and we are committed to making compliance an essential part of our company. Compliance ranks at the top of our organizational culture, which improves the quality of our service and company.