The New Reality of Hospital-Payer Contracts: How Baptist Health Negotiated with Florida Blue - MedCity News
Briefly

Michael Mayo, CEO of Baptist Health, discussed the evolving dynamics between healthcare providers and insurers, particularly in the context of a recent negotiation with Florida Blue. He highlighted the year-long preparation process that included hiring external consultants and forming a task force. The health system found it was significantly under-reimbursed compared to competitors and strategically prepared its case for higher rates. This negotiation journey emphasizes the growing complexity and demands of such partnerships in the healthcare sector, ultimately leading to a successful agreement.
We looked at how they were reimbursing facilities in the other part of the state, and we determined that our system was reimbursed almost 40% below the lowest in our market. So we also hired an outside professional communications firm.
To be successful in our contract negotiation process, we had to assemble a dedicated team, which included a task force of board members that helped build our case.
Read at MedCity News
[
|
]