Developing a Transparent Payor Contracting Program

Service: Payor Contracting

OVERVIEW

Our Client was out-of-network with several key payors with no strategy for moving in-network.  The Client’s payor contracting resource was new to the organization and the Client’s executive leadership and private equity Board wanted extra oversight of the process.

THE WORK

  • The Scale Physician Group payor contracting team oversaw the Client’s payor contracting team through weekly update calls.
  • We worked with the Client to formalize priorities and developed an executive summary report to cleanly and clearly track performance across priority contracts and key process milestones.

THE RESULT

Scale Physician Group developed transparency of process status, accountability for the payor contracting team, and efficient prioritization of the task at hand.

Our Team

Suniti Ponkshe scale physician group

Suniti Ponkshe

CHIEF ADVISOR, PAYOR CONTRACTING ANALYTICS

Suniti Ponkshe is the Chief Advisor of Payor Contracting Analytics at Scale Physician Group.

Suniti is a Partner at the Newport Board Group, a multidisciplinary expert network advisory services firm.  Previously, Suniti served as Anthem’s Staff Vice President of Product Innovations and Development.

Read more here

Learn More