SCALE Case Study:

Payer Strategy – Dental (DSO)

Client Profile

Services Deployed


Payer Strategy

Financial Analysis

Regulatory Research


SCALE was engaged by a Dental Services Organization (DSO) participating with a Managed Care Organization (MCO) providing dental services to Medicaid recipients for which a rate reduction was imminent. The engagement included providing financial analyses to quantify service line impact, payer contract review and strategy development to improve their rate position.


SCALE Payer Strategy and Consulting business segments conducted a thorough financial analysis
of proposed rate reductions supported by contract review, a regulatory assessment, and research
on the Medicaid network in the state.

SCALE developed a comprehensive strategy to counteract proposed rate cuts:


As a result of discussions with the MCO, rate reductions were brought down by 50% and a Memorandum of Understanding was negotiated to solidify non-contractual terms and strengthen a continued partnership.

Join our community with our latest offering & interesting update

Please fill out the form below to sign up for the SCALE newsletter.

    SIGN UP for a free consultation

    Please fill out the details below and a team member will reach out to you.