In today's complex healthcare landscape, payer contracting is an intricate process that requires effective use of key performance indicators (KPIs) to monitor, evaluate and optimize contract performance. As practices negotiate terms and conditions with payers, having an arsenal of relevant KPIs ensures a strategic and informed approach to contracting. This presentation highlights the 10 most critical KPIs that every practice should know to assess the performance of their payer contracts, anticipate potential challenges and guarantee financial sustainability. Participants will gain insight into how these KPIs can guide decision-making, leverage better contract terms and maximize revenue potential. Payer contracting, when backed by robust KPI analysis, can become a strength for practices, ensuring optimal patient care and financial viability.
Learning Objectives:
Outline essential KPIs for payer contracting and their impact
Calculate how performance in critical KPIs impacts the broader financial implications of contracts beyond the agreed-upon fees
Prepare new practice strategies with insights derived from consistent KPI tracking and analysis