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MANAGED CARE CONSULTING
Improve your contract performance.
Our managed care consultancy has one purpose: to drive growth and sustainable performance for our clients — health systems, hospitals, physicians, and providers. We handle everything from contract negotiations and dispute resolutions to specialized communication strategies.
Proven success
We’ve been involved in almost 2,000 negotiations for providers in 49 states — everything from local to multi-state to national issues for every type of provider and against every imaginable payor.
Unlock Health Managed Care
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MANAGED CARE CONSULTING
Improve your contract performance.
Our managed care consultancy has one purpose: to drive growth and sustainable performance for our clients — health systems, hospitals, physicians, and providers. We handle everything from contract negotiations and dispute resolutions to specialized communication strategies.
About Unlock Health
Unlock Health’s Managed Care Group is powered by unparalleled expertise, including involvement in more than 1,700 provider negotiations across 49 states. Our full-service, provider-only offering is differentiated from large firms that serve payors and providers and small boutique firms that often lack the analytic sophistication we offer. We handle everything from managed care strategy, negotiations, contract modeling and analytics, to strategic communications that get deployed when negotiations turn hostile or public.
Contract and revenue strategy
Building a business case for contracts through data and market intelligence.
Our capabilities
Contract negotiations
Securing the right rates and contract language to ensure future growth and profitability.
Payor landscape expertise
Leveraging nationwide payor trends to capitalize on opportunities.
Strategic communications
Pioneering communications to support difficult negotiations and ensure better contract outcomes.
Managed care benchmarking and analytics
Providing insights for financial sustainability and patient acquisition.
Resources
Providers are hard pressed to match the almost unlimited resources that payors deploy against them. Unlock Health can help our clients ensure they have the strategy and tools to combat the payors and remain well-positioned for the future.
Kevin Thilborger
Chief Managed Care & Revenue Strategy Officer, Unlock Health
Managed care trends and reports
New president. New Congress. Decades old healthcare cost finger pointing. Payors and providers say change is needed. Yet there’s no consensus on how to achieve it. In our new report, we share our views on six areas to watch this year.
Medicare Advantage
Today, more than half of all Medicare beneficiaries are enrolled in a Medicare Advantage plan. By 2030, enrollment is predicted to reach 60% of beneficiaries. But is it as good as it sounds?
Download our infographic for a deeper dive.
Does location affect pricing? Of course it does? "Common sense" pricing makes no sense at all. Learn more about...
Blogs
Looking for even more insights into the world of managed care? Check out these quick reads.
Webinars
Read about ghost providers, bot-driven denials, and much more in our latest report.
What’s trending in the business of healthcare?
Join Brandon Edwards (Unlock Health) and Blake Madden (Hospitalogy) in a webinar on May 15 as they discuss the state of American healthcare.
Who really suffers when payors increase administrative burdens of providers? It's the patients who can't get the care they need.
Payors are off to a rocky start with AI. We've got our eyes on how they'll use it for good in the future. Learn what's going on with...
If something costs $5 to make, would you sell it for $4? Yet that's exactly what payors want providers to do. Learn what's really behind...
or call us today
What’s trending in the business of healthcare?
Join Brandon Edwards (Unlock Health) and Blake Madden (Hospitalogy) in a webinar on May 15 as they discuss the state of American healthcare.
Read about ghost providers, bot-driven denials, and much more in our latest report.