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    2025 MGMA Focus Financial Conference

    Payer Contracting

    CON302: Optimizing Care Contracts: Strategic and Operational Guide

    Monday, April 14, 2025
    10:15 AM – 11:15 AM EDT
    Location: Palladian Room
    Eligible for: ACMPE: 1 | ACHE: 1 | CEU: 1 | CME(AAPC*): 1 | CPE: 1.2 | PDC: 1
    Traditional | Basic | Comprehension
    * This session is included in the 2025 MGMA Summit education program.

    This session explores strategic approaches to utilizing Transparency in Coverage data, offering healthcare organizations a blueprint for enhancing managed care contract negotiations. By integrating case studies and interactive audience engagement, we aim to demonstrate the effective use of Transparency in Coverage data for accessing competitive rate information, enabling healthcare organizations to build data-driven analyses for negotiating higher reimbursement rates. The focus will be on practical strategies that lead to rapid reimbursement rate improvements, emphasizing inclusivity for a broad audience.

    Learning Objectives:

    1. Demonstrate how to effectively access and interpret Transparency in Coverage data for all healthcare organizations
    2. Provide actionable insights and strategies for using this data to improve managed care contract negotiations and financial outcomes
    3. Highlight real-world applications and case studies to facilitate immediate implementation and significant operational improvements