Nilanjana Bose, MD, MBA
Lonestar Rheumatology PLLC
Manvel, TX, United States
Disclosure(s): No financial relationships with ineligible companies to disclose
This session will feature a panel and is designed to provide insights into high-level payer negotiation strategies for experienced rheumatology leaders. Potential topics include:
• Best negotiation tactics and how to apply them effectively
• Leveraging practice strengths for contracting advantage
• Approaching payers in underserved markets vs. competitive markets
• Key differences in commercial vs. Medicare Advantage contracting
• Negotiating around E&M, J codes, labs, imaging—when to push and when to hold
• Dropping a payer: when it's a viable strategy and when it’s not
• Understanding and navigating value-based contracts
