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"Maximizing the value of your healthcare investment"

 
 

 

 

   
 
   

Payor Services:

The changing landscape of healthcare has forced health plans to re-examine their core service offerings. Members have demanded open access to broader networks of providers; employers are moving toward consumer-driven healthcare plans; and providers are aggressively seeking higher levels of reimbursement.

Payors are responding by developing new products that incorporate health savings accounts and health reimbursement arrangements. RPM Health provides its expertise with consumer driven health plans (CDHPs) to help payors design and implement CDHP products. We also use our extensive strategic sourcing experience to support health plans when they must outsource capabilities such as pharmacy benefit management, HSA administration and other critical functions.

As payors respond to market demand for broader provider networks, managing relationships with participating providers is critical to ensuring a stable, financially competitive network. RPM Health’s supplier management expertise helps health plans manage the contract renewal process and establish successful mutually beneficial relationships with providers.

RPM Health’s expertise and capabilities encompasses:

  • Strategic sourcing
  • Supplier integration and relationship management
  • Provider contract evaluation and cost analysis
  • Consumer-driven health plan product design and development
  • Make versus buy (i.e., outsourcing) analysis