PDS Presents an Education Session on Using KPIs to Negotiate Better Terms and Conditions with Payers at the 2024 MGMA Financial Conference

Posted on April 11, 2024

Southbury, Connecticut (April 11, 2024)—Practical Data Solutions is pleased to present 10 Critical KPIs for Payer Contracting at the Medical Group Management Association (MGMA) Financial Conference on Friday, April 26, from 10:15 AM– 11:15 AM PST.

The conference will be held April 24 – 27 at the Hilton San Diego Bayfront Hotel in San Diego, CA, where PDS will also be exhibiting.

Scott Everitt, PDS VP of Healthcare Solutions, and Russell Hendrickson, CEO and President, will present this session as part of the MGMA’s Payer Contracting and Value-based Payment segment.

“We have presented several times at the MGMA Financial Conference, and we think this is a great topic as practices and organizations continue to work to optimize reimbursement in today’s complex healthcare environment,” said Everitt. “In this session, we’re going to look at how utilizing a critical set of metrics for each payer can help practices understand the true nature of the reimbursement being proposed by the payer. An organization must harness the power of Key Performance Indicators (KPIs) to make informed decisions, anticipate potential hurdles, and negotiate more favorable terms. By being vigilant in preparing, negotiating, and monitoring agreements, executives can really enhance financial performance, which leads to improved patient care and sustainable growth for the practice.”

Attendees will learn how these payer-specific KPIs can guide decision-making during the negotiation process to leverage better contract terms and maximize revenue potential. We will also discuss critical metrics and processes associated with migrating to Value-Based Care contracts and strategies associated with considering these agreements. Reassessing this approach will help refine practice strategies to optimize performance and ensure long-term sustainability.

PDS will be in Booth #212 throughout the show, showcasing visual analytics and reporting solutions that drive healthcare proficiency, help identify outliers, and optimize bottom-line revenue.

These solutions will include:
PDS PhyComp streamlines complex reporting through automation, addressing manual errors and delays
PDS Denial Recovery focuses recovery efforts on denial reasons and payers to maximize efficiency in the appeal process and identify operational challenges
PDS Payer Contract Analyzer facilitates the monitoring of contractual fee schedules as well as comprehensive analysis of payer fees in comparison to CMS rates, fee schedules of other commercial payers, and proposed fees for new contracts
PDS HCC Revenue & Care Insights offers essential tools to analyze patients with chronic conditions, identify gaps, enhance patient care, and manage financial performance

Financial management professionals can register here to attend the conference. Information on speakers, session details and schedule for the conference can be found here.


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