SCALE Case Study:

Payer Strategy – Home Health Provider

Client Profile

Services Deployed

Payer Strategy

Market Positioning

Overview

SCALE was engaged by a home health service provider specializing in post-acute care to assist with payer contract review, rate negotiation, and market positioning across Medicare Advantage (MA) and Commercial lines of business.

Execution

SCALE Payer Strategy analyzed the home health market and their current payer agreements.

Results

As a result of payer negotiations, commercial rates have increased consistently with three
major payers with material increases and favorable contract terms.