Managed Care Contracting + Network Development Consulting Services for Hospitals and the Health Care Industry

We've taken the art of contract negotiations and network development to an entirely new level.

Our approach

We make a difference for your bottom line. We’ll take a look at where your organization stands with each Payor. We'll assess each contract and work to define the steps necessary to improve those relationships. We’ll connect you with partners that align with your needs and fiscal requirements. As our client, you’ll benefit from our expertise in negotiating new contracts, renegotiating your existing contracts, and tailoring them to meet your specific needs.

Navigating the changing world of managed healthcare

Powers Managed Healthcare Solutions has over 25 years of experience in contracting with managed care organizations. Our reputation for fairness and professionalism is well-known throughout the industry. We understand exactly what it takes to help your organization succeed in the ever-changing world of managed health care. We’ll negotiate your contracts to include the best reimbursement rates available and contract terms. 

We negotiate profitable managed care contracts.

Let's talk about how Powers Managed Healthcare Solutions can help transform your network--we promise it'll be worth it!

Who we serve

  • Managed Care Organizations

  • Small to medium-sized community hospitals

  • Skilled nursing facilities

  • Ancillary service providers

  • Physician groups

Lori Powers, President

Ms. Powers has successfully negotiated multi-million dollar, multi-tier contracts with managed care providers across the country for the past 25 years. She has strategically built networks for expansion projects, start-ups, and full-service medical organizations.

Our Services

Managed Care Contracting

-        Develop and Evaluate Payment Rates

-        Manage Contracts to Ensure Compliance

-        Renew and Renegotiate Contracts

-        Oversee Financial Analysis and Projections

-        Managed Care Contract Language Review

Network Development

-        Development of Network Strategy

-        Negotiate + Renegotiate MCO Contracts

-        Build Network with PCPs, Specialists + Ancillaries

-        Oversee Managed Care Organization Goals

-        Eliminate Medicaid and Medicare Audit Deficiencies

Areas of Focus

Commercial, Medicare + Medicaid, Healthcare Exchange and Workers’ Compensation Products

Specialty Niche Networks - Gap Fill Projects - Network Startups + Service Area Expansions

Schedule a Call.

With Powers Managed Healthcare Solutions on your side, you can rest assured that no detail will be overlooked when it comes to developing a profitable and compliant healthcare platform.

“We needed to expand our managed care network for our hospital group into other counties and states. Lori Powers jumped right in and got the job done with the utmost care and professionalism ”

— K. T., ERIE HOSPITAL GROUP