SCALE Case Study:

Payer Strategy – Behavioral Health MSO

Client Profile

Services Deployed

Payer Strategy

Market Analysis

Overview

SCALE was engaged by a Behavioral Health Management Services Organization (MSO) to assist with payer contract review, contract strategy development, and contract renegotiation with multiple payers across their Commercial lines of business.

Execution

Phase 1 – Strategic Development:

Phase 2 – Renegotiation:

SCALE developed an extensive payer negotiation strategy based on market considerations
for each behavioral health practice.

Results

As a result of SCALE’s assistance in payer negotiations, the group secured significant increases in
their Commercial rates.

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