Managed Care

A Specialized focus on behavior health

Since 1996, Strategic Health Care’s Managed Care team has been successful in finalizing competitive contracts for providers throughout the country. We have a specialized focus on behavior health, and have negotiated multi-million dollar contracts for psychiatric hospitals and physicians in multiple states. We have successfully negotiated contracts with all of the major and regional payors for facilities and physicians throughout the country with increases of between 10% and 20% on each agreement which resulted in hundreds of thousands of dollars to their bottom lines.

Major Payors Include:

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Our Achievements in Managed Care Include

Contract negotiations include all products such as commercial, Medicare, Medicaid and dual eligibles

Successfully negotiated new contracts for psychiatric hospitals with the highest possible reimbursement. SHC utilizes the history gathered from managed care negotiations throughout the country to solidify the highest reimbursement levels

Renegotiated physician agreements around the country, all resulting in 4% to 17% increases

Successfully credentialed and secured Medicare and Medicaid and Workers’ Comp status for employed physicians

Secured over 50 contracts within six months to a year for a large hospital system with the largest being a $500,000,000 contract, and the lowest a $25,000,000 contract

Secured over 50 contracts within six months to a year for a large hospital system with the largest being a $500,000,000 contract, and the lowest a $25,000,000 contract

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Provided research and recommendations to MCOs interested in entering various markets, or changing direction within their markets

multimillion

Secured multi-million dollar agreements for a large national supplier with all targeted major payors

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Secured financially beneficial contracts with all major and regional payors of choice

12-100million

Revenues of each network spanned $12,000,000 to over $100,000,000

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