Case Study: a DME provider expands payor network access and reimbursement with PayrHealth

DME Provider expands payor network access with PayrHealth, negotiating 50,000+ contracts

The DME Provider, a durable medical equipment company, faced a significant challenge when major payor networks were closed to them despite their standing in the community. Lacking the internal resources for complex contract negotiations, they enlisted PayrHealth for its payor contracting and data-driven negotiation services to secure network participation and favorable rates.

PayrHealth implemented a strategy utilizing a financial market comparison model and tactical negotiations to enroll the client in top payor networks. This solution resulted in higher reimbursement rates and a significant expansion of the patient volume pool for the DME Provider. The vendor secured a high return on investment that more than paid for itself and established positive, sustainable relationships with payor partners for years to come.

DME Provider