CASE STUDY:

Developing a Transparent Payor Contracting Program

  • Service: Payor Contracting
OVERVIEW
THE WORK
RESULTS
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Overview

  • Our Client was out-of-network with several key payors with no strategy for moving in-network. The Client’s payor contracting resource was new to the organization and the Client’s executive leadership and private equity Board wanted extra oversight of the process.
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THE WORK

  • The Scale Physician Group payor contracting team oversaw the Client’s payor contracting team through weekly update calls.
  • We worked with the Client to formalize priorities and developed an executive summary report to cleanly and clearly track performance across priority contracts and key process milestones.
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THE RESULT

  • Scale Physician Group developed transparency of process status, accountability for the payor contracting team, and efficient prioritization of the task at hand.

Our Team

Suniti Ponkshe scale physician group
  • Suniti Ponkshe
    CHIEF ADVISOR, PAYOR CONTRACTING ANALYTICS

Suniti Ponkshe is the Chief Advisor of Payor Contracting Analytics at Scale Physician Group.

Suniti is a Partner at the Newport Board Group, a multidisciplinary expert network advisory services firm.  Previously, Suniti served as Anthem’s Staff Vice President of Product Innovations and Development.

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