Ideas and options on contracting and billing with health plans, both private and public. Materials address areas like contract negotiations and preparing information on the agency's costs in order to market and negotiate contracts and billing.
Components
Tips for Ryan White HIV/AIDS Program recipients and sub-recipients on ways to improve contracting and billing processes.
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans.
Steps agencies can take to bill for services that enhance their financial sustainability.
Tips for negotiating contracts with insurers.
Tool for conducting a cost analysis (determining the unit/average cost of a service) for purposes of billing and securing reimbursement for services provided.
Review of how agencies can market their services to health insurers.
Review of contracting opportunities (e.g., marketing when negotiating contracts) for Ryan White funded agencies that provide medical care and other services.
Tool for assessing your organization’s strengths and gaps in areas that (1) are important to insurers and (2) support maximizing revenue from contracting activities.
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