Strategies for Year-End Payer Negotiations
At the June 2025 HFMA Annual Conference, Jeff Leibach, a managing director and Healthcare Advisory practice co-leader at BRG, offered his insights on the dynamics of year-end payer negotiations. He highlights what makes this year’s negotiation cycle unique, including new layers of complexity driven by ongoing regulatory changes to coverage and financing of Medicaid and Affordable Care Act (ACA) Exchange plans. He shares insights on responding to rising cost pressures and emphasizes the critical role managed care contract negotiations play in securing a sustainable financial future for health systems.
“It’s a difficult environment out there, and payers are more challenged than before in terms of what they’re offering and what they’re willing to accept.” – Jeff Leibach
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