For Payor Negotiations

    Build Your Case for Payors

    Transform your outcomes data into compelling presentations. Calculate quality bonuses, cost savings, and contract rate negotiation leverage.

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    Currently using sample data. Sign in to use your real outcomes.

    Quality Bonuses

    Demonstrate HEDIS compliance improvements to capture quality incentive payments

    Cost Savings

    Show reduced ED visits and hospitalizations through early intervention

    Rate Leverage

    Use proven outcomes as leverage in fee-for-service rate negotiations

    NEW Feature

    Generate Reports by Insurance Payor

    Filter your entire clinical outcomes report by insurance company. Perfect for value-based care contracts and payor negotiations.

    Select Insurance Payor:

    All Payors
    United Healthcare
    Aetna
    Blue Cross Blue Shield
    Cigna

    Report Header Preview:

    Insurance Payor: United Healthcare

    Why Filter by Payor?

    • Show payor-specific outcomes in VBC negotiations
    • Demonstrate value to specific health plans
    • Track performance across different payer populations
    • Generate targeted reports for contract renewals
    • Compare outcomes across insurance companies
    Download Sample Report

    See a real payor-filtered outcomes report

    Premium Resource

    Complete Payors Insights Presentation

    A comprehensive presentation designed specifically for health plan executives, showcasing the full value proposition of measurement-based behavioral health care with detailed HEDIS mapping and ROI analysis.

    What's Included

    • Executive summary with key value drivers
    • Detailed HEDIS measure mapping to assessments
    • Network optimization strategies
    • Cost savings analysis with methodology
    • Implementation roadmap
    • Evidence-based outcome projections

    30+ Slides

    Professional presentation ready for health plan meetings

    ROI Calculator

    Adjust the sliders to see the potential value of outcomes tracking for your payor conversations

    Your Scenario

    Customize values to match your practice

    500
    502,000
    65%
    30%90%
    +15%
    +5% (conservative)+30% (ambitious)
    $150
    $50$500

    Total Annual Value

    $291,750

    $584/patient/year

    Quality Bonuses

    $187,500

    Cost Savings

    $77,250

    Rate Negotiation

    $27,000

    ROI

    386%

    Impact Breakdown

    New Compliance Rate65% → 80%
    ED Visits Prevented14/year
    Hospitalizations Prevented4/year
    Fee-for-Service

    Rate Negotiation Calculator

    Calculate the revenue impact of fee-for-service rate increases

    Your FFS Scenario

    Adjust values to match your practice and target rate increase

    10,000
    5,00050,000
    $150
    $50$2,000
    +10%
    0%100%

    Total Increase per Year

    $1,800,000

    Current Rate

    $150

    New Rate

    $165

    Gain Per Visit

    $15

    Revenue Comparison

    Current Annual Revenue$18,000,000
    New Annual Revenue$19,800,000
    Annual Gain$1,800,000

    What's in Your Presentation

    Professional materials designed to make your case to payors

    PDF Presentation

    • Executive summary with key metrics
    • HEDIS compliance scorecard
    • ROI breakdown with methodology
    • Cost savings analysis
    • Quality improvement trends
    • Contract negotiation talking points

    Excel Data Export

    • Raw outcomes data (de-identified)
    • HEDIS measure breakdowns
    • Trend analysis by month
    • Severity distribution data
    • Custom calculator inputs
    • Benchmark comparisons
    Sample Preview

    PDF Presentation Preview

    See exactly what your payor presentation will look like. Each page is professionally designed to make a compelling case.

    Behavioral Health Outcomes
    Annual Value
    $291,750
    Quality
    $187,500
    Savings
    $77,250
    Leverage
    $27,000

    Page 1: Cover

    Executive Summary & Value Proposition

    HEDIS Measures
    dsf78%
    fuh82%
    fum75%
    amm68%
    Projected Improvement
    65%80%
    Response
    87%
    Improved
    72%
    Avg Gain
    4.2pts

    Page 2: HEDIS

    Compliance Scorecard & Outcomes

    Value Category
    Quality Bonus$187,500
    ED Avoidance$21,000
    Hosp. Avoidance$56,250
    Rate Leverage$27,000
    TOTAL ANNUAL VALUE$291,750
    Methodology

    Page 3: ROI

    Financial Analysis & Methodology

    Quality Performance
    Cost Reduction
    Value Partnership
    Data & Transparency

    Page 4: Talking Points

    Negotiation Guide & Scripts

    Preview shows sample data. Your actual PDF will use the calculator values above.

    Ready to Build Your Case?

    Sign in to use your real outcomes data, or download sample presentations to see the format.

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