Reimbursement decisions start long before the negotiation.
Long before anyone sits down at the negotiating table, the outcome is already starting to take shape.
The strongest provider organizations spend months — sometimes years — building the trust, reputation, relationships and market position that shape every conversation with payers.
We help healthcare organizations stack the odds in their favor by strengthening their position before negotiations begin, and protecting it long after they’re over.
Payer relations
Healthcare organizations often treat payer negotiations like an annual event. They’re not. They’re the result of everything you’ve done in the twelve months before the meeting.
Health systems with stronger brands attract more patients. Organizations with better physician alignment keep more care in-network. Better consumer experiences improve loyalty. Better outcomes strengthen the story you bring to the table.
Negotiating strength grows when:
- You become indispensable. Payers negotiate differently with organizations they can’t afford to exclude.
- You prove your value. Outcomes, access, experience and market demand tell a stronger story than opinions ever will.
- You understand your market. Know where demand is growing, where competitors are gaining ground and where opportunities exist before negotiations begin.
- You think beyond reimbursement. The strongest partnerships create value for patients, providers and payers alike.
1,400+
payer/provider negotiations supported
97%
success rate in reaching an agreement without disruption
49/50
supported payer/provider negotiations for health systems in 49/50 U.S. states
100M+
patients reached annually
9/10
average client satisfaction score
Powered by Signals Intelligence
Every favorable negotiation begins with data. BPD Health’s Signals Intelligence platform combines 240M+ consumer profiles, 7M+ NPIs matched to consumer records, claims data, primary consumer research, market data, competitive intelligence and hundreds of behavioral signals into one connected intelligence engine — helping healthcare leaders understand what keeps great people from walking out the door.
- Managed care strategy
- Payer relations
- Market intelligence
- Claims analysis
- Payer communications
- Internal communications
- Patient communications
The Medicare Confidence Gap
Millions of Medicare beneficiaries will choose coverage between October 15 and December 7 that shapes how they interact with their preferred doctors, caregivers, and hospitals next year. For seniors, the process can be overwhelming. For health systems, these decisions can significantly affect Medicare volume, payer mix, and cost to collect.
Yet many systems leave the enrollment window to chance because of compliance concerns, allowing health plans and brokers to influence decisions.
BPD surveyed Medicare-eligible adults nationwide to understand how they approach coverage and what those decisions mean as this population becomes increasingly important to health system growth and financial performance.
What we found was surprising: Medicare-eligible adults aren’t necessarily looking for more information. They want more guidance from sources they trust. And those sources aren’t insurance agents, health plans, or advertising.
This report explores who Medicare-eligible adults want to hear from, what builds confidence in their decisions, and how health systems can legally and meaningfully engage during the Annual Enrollment Period to strengthen their market position.
Download The Medicare Confidence Gap
Fill out the form to receive a copy of the guide.
Good People, Flawed System
Health insurance companies are under growing scrutiny — but what do the people inside those organizations think?
While the public conversation focuses on rising costs and care delays, a more nuanced story is emerging from within. This report explores the growing moral tension faced by payer employees: a workforce that believes in its mission but is increasingly uneasy about how that mission plays out in practice.
Based on a national survey by BPD, Good People, Flawed System reveals a surprising contradiction. Employees of health insurance companies report high job satisfaction and strong alignment with their organizations’ values — yet 67% also have concerns over how their organizations prioritize profits over patients. These insights offer providers a powerful new lens for negotiating with payers and building more mission-aligned partnerships.
Download Good People, Flawed System
Fill out the form to receive a copy of the guide.
The receipts
Strong brands drive commercially paid patients. Physician alignment keeps care in-network. Community trust reinforces your value to payers.
