Managed Care Contracting for Children’s Hospitals

Children’s hospitals across the country are experiencing margin pressure, while health plans are experiencing record profits. Developing a managed care strategy that includes terminating, renegotiating, and aligning hospital and physician contracts will position an organization for substantial revenue improvement. This presentation describes key elements of a managed care contracting strategy, offering insight into contracting financial targets for hospital and physician services, and showcases a client with a $90 million managed care revenue improvement.