Payer Contracting

Fractional payer relations and contracting advisory—delivered as fractional leadership, project-based support, or ongoing retainer.

Fractional Payer Relations & Contracting Advisory Services

• Fractional, project-based, or retainer payer relations support.
• Payer contract review & optimization (terms, rates, operational clauses, performance provisions).
• Out-of-network to in-network strategy (target list, positioning, sequencing, negotiation plan).
• Telehealth / telepsychiatry integration (coverage, policy, contracting alignment).

Core capabilities

With a diverse team of on-site staff and on-call industry leaders, Rx Health teams with clients to deliver sustainable and measurable results. We have expertise working with payers in multi-state and multi-product arenas, supporting clients across Commercial, Medicaid, Medicare, and Workers’ Comp: network development, provider relations, payer contracting, and medical/physician marketing.

We can serve as a fully outsourced managed care department for long-term needs, or handle interim and/or one-off projects as needed. Through strategic partnerships we can provide access to EMR, accounts receivable, medical billing, coding and collections solutions, and can handle provider credentialing and provider enrollment needs.