Managed Care Contracting

Physician Credentialing

The opportunity to gain access to managed care patient populations begins with physician credentialing. Managed care payors only contract with credentialed providers. MSI can complete this important requirement for you.

Service Matrix and Reimbursement

MSI has assisted many healthcare providers in maximizing the benefit of participating in the managed care environment. We will conduct a risk vs. reward assessment of the patient population and service requirements being offered. MSI has considerable experience in negotiating favorable capitation rates, excluded services, fee-for-service carve-outs and reimbursement levels, and stop-loss risk levels.

Annual Actuarial Review and Contract Renegotiation

When the time for contract renewal nears, MSI can produce actuarial statistics from past patient encounters to leverage your position during renegoations.