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Description

Payer negotiations have grown increasingly complex as reimbursement methodologies evolve and pricing transparency pressures intensify. In this session, Christopher Triolo, MA, AT Ret, shares practical strategies gained from aggregating some of the nation’s largest orthopaedic practices to level the playing field.

Whether you are new to payer negotiations or seeking a more reliable approach, attendees will learn how to build clean, defensible data sets, align utilization with payer contract structures, and develop negotiation-ready proposals that protect and optimize practice economics. Attendees will gain real-world insights into payer behavior, market forces, and the analytics required to move from reactive discussions to proactive, data-driven negotiations.

Learning Objectives

1.    Identify the core data principles required to build accurate, defensible reimbursement models to maximize financial outcomes at both group and provider levels. 
2.    Analyze payer behavior and market forces, including Medicare drift and pricing transparency impacts. 
3.    Evaluate contract structures, including base year selection, service categories, and site-of-service differentials. 
4.    Develop structured, negotiation-ready proposals. 

Webinar Director

Christopher W. Triolo, MA, AT Ret.

Stop reacting to payer contracts and start negotiating from a position of strength. Learn the data-driven strategies top orthopaedic practices are using to protect revenue and maximize reimbursement. Register now!