Case Study: Multi-Specialty Group Renegotiates Payer Agreements
California multi-specialty physician group retains Healthcents three times over 10 years to renegotiate top payer agreements and considerably increase revenue
Provider Type: Physician Group
Specialty: Orthopedic, Physical Medicine, Rehabilitation and Anesthesia Pain Management
Number of Physicians: 14
Headquarters: Larkspur, CA
What California Orthopedics & Spine Says about Healthcents
We are the largest orthopedic practice in Marin County, CA, and Healthcents has been a key partner in helping us renegotiate contracts. We have engaged Healthcents’ services three times over the last 10 years, and each time they obtained above-market rates with major payers which increased our annual revenue significantly.
Michael Oechsel, M.D. Chief Financial Officer
Need
California Orthopedics & Spine were looking to renegotiate their top revenue-producing payer contracts, but didn’t have the time or resources to lead a successful renegotiation effort.
Solution
California Orthopedics & Spine retained Healthcents several times to lead their key payer renegotiations. Healthcents evaluated their contracted rates, coordinated with payers, and renegotiated on their behalf.
Outcome
By working with Healthcents, California Orthopedics & Spine obtained increased reimbursement on major contracts. They realized double-digit percentage increases, obtained multi-year escalators and added new lines of business.
20%
increase on payer contract rates
About About California Orthopedics & Spine
California Orthopedics & Spine is the largest provider of orthopedic and sports care to the North Bay area. Their team of 14 physicians, five physician assistants and a nurse practitioner provide a full suite of orthopedic services (including spine, shoulder and elbow, hip and knee, hand and wrist, foot and ankle, pediatrics and sports medicine) along with physical medicine and rehabilitation and anesthesia pain management.