Payer contracting & strategy across the healthcare continuum
With expertise across both the payer and provider side of healthcare, Rx Health Consulting helps organizations achieve short-term wins and long-term, sustainable results—through contracting, operations, and execution.
How we work
Fractional leadership, project-based sprints, or ongoing retainer support—built to match your goals, timeline, and internal resources.
- DiagnoseRapid assessment of contracts, constraints, and operational blockers.
- PlanTargeted payer strategy, sequencing, and negotiation plan.
- ExecuteOperational workflows and accountable deliverables your team can run.
What we do
We support multi-state and multi-product payer environments, including network development, provider relations, payer contracting, and physician/medical marketing.
Payer Contracting
Contract review, rate and term optimization, operational clauses, and performance provisions.
Out-of-Network → In-Network
Target list, positioning, sequencing, and a practical negotiation plan your team can execute.
Telehealth Alignment
Coverage, policy, and contracting alignment for telehealth/telepsychiatry integration.
Who we serve
Managed care plans, physician groups, hospitals, diagnostic laboratories, home health, rehab, DME, unions, and pharma. We’re also happy to assist organizations with specific healthcare, technology, and product marketing needs.