Feature May 25, 2022 John Bernot, MD

5 ways to leverage digital health tools to negotiate more advantageous payer contracts

Looking for a new approach to negotiating better contracts with commercial payers? Start leveraging digital health tools.

negotiate more advantageous payer contracts

Negotiating commercial payer contracts can be intimidating and time-consuming. However, effective negotiations can yield significant financial results for your practice or surgery center.   

While there are many best practices and resources available1 to guide you, one area you may not have considered is how to position the use of digital health tools to help negotiate more advantageous payer contracts.

Here are five ideas to bring to the negotiating table with commercial payers:  

  1. Demonstrate your organization is proactive about improving patient outcomes. Better patient outcomes result in fewer complications and costly readmissions. Plus, healthier patients equals less risk. Payers want to know you’re proactively managing future costs of your patient populations and the right digital health tool can do just that—and provide the data to back it up. 
  2. Show a reduction in same-day cancellations and patient no-shows. There is no CPT code for same-day cancellations and patient no-shows,2 which means payers do not reimburse healthcare organizations for this common occurrence. However, it’s in a payer’s best interest to know your organization is making strides to reduce the problem so that you can increase the volume of patient visits and procedures completed successfully. 
  3.  Implement workflows to collect patient-reported outcomes (PROs). As PROs become increasingly important in the transition to value-based care,3 it’s essential your healthcare organization has a system to collect and manage this data efficiently. Ensuring commercial payers are aware of your capacity to send patient reminders to complete the surveys and manage the data once it’s received is a competitive advantage of which they should take note. 
  4.  Increase patient activation. Patients with low activation scores are associated with healthcare costs up to 21% higher than those patients who are more actively engaged.4 Finding ways to connect with patients and engage them in their healthcare is essential. Texting patients is one way a digital health tool can better engage your patient population, including baby boomers
  5. Identify at-risk patients. Identifying patients most at risk for complications and those struggling to follow pre- and post-op care plans is critical to lowering the cost of healthcare. A digital health tool that sends patients a daily to-do list that they can check off will alert the care team when someone has low task adherence so that an intervention can take place before issues arise, thus avoiding future healthcare costs.

The right digital health tool can transform the patient experience, which can ultimately increase patient activation and health outcomes. Leveraging this during negotiations with payers can give your surgery center or practice a leg up. 

Make Ayva part of your commercial payer contracting discussion

Ayva is a dynamic patient engagement platform with an 86% daily use rate.5 In contrast, only 38% of individuals accessed health data from a patient portal in 2020.6

Practices and ASCs that use Ayva can come to the negotiating table with real-world data demonstrating how their proactive approach to patient engagement is moving the needle with increased activation and other key benchmarks. 

Looking for a new approach to negotiate more advantageous commercial payer contracts? Don’t overlook the power of Ayva at the negotiation table to support the financial health of your practice or surgery center.  

Meet Ayva today!

 

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Shane Andreasen

Bravado Health

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Bravado Health Media Line

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