Case Study: a regional ophthalmology practice achieves higher reimbursement and expanded coverage with PayrHealth

a regional ophthalmology practice boosts revenue $628K+ with PayrHealth

A regional ophthalmology practice in the southeastern U.S. engaged PayrHealth to address outdated reimbursement rates and inconsistent coverage for high-value procedures from major payors. The practice needed a strategic contracting partner to improve its payor relationships and secure better terms that reflected the value of its specialty eye care services.

PayrHealth implemented a comprehensive contract strategy, using data-backed negotiations that highlighted the practice's cost efficiency and role in serving underserved communities. This solution delivered a 10.8% weighted average rate increase across multiple payors, unlocked access to over 86,000 new covered lives, secured coverage for previously excluded procedures, and generated over $628,000 in annualized revenue increases for the client.