Services

Contract Analysis and Payer Negotiation Strategy Development

Analysis of critical contracts, identifying unfavorable terms, and, with the use of pricing transparency data, identifying rate disparities, and renegotiation opportunities.

Fractional Contract Oversight

Provide fractional payer contracting leadership to address gaps in expertise or capacity, ensuring strategic alignment and operational continuity.

Strategic Contract, Integration & Compliance Oversight

Review payer agreements through a contract integration process ensuring payer notification compliance and strategy development recognizing payer and provider specific language in current agreements, as well as diverse rates, methodologies geography and line of business.

Expansion Strategy Development with Payer Market Guidance

Develop and execute comprehensive expansion strategies that are informed by in-depth payer market intelligence and reimbursement landscape analysis. Inform organizational growth initiatives — including market entry, service line expansion, and geographic diversification.

1. Initial Assessment

We review your contracts, analyze local market rates using price transparency data, and compare your current reimbursement with others in your specialty.

2. Strategic Negotiation Support

We model your contracted revenue, develop a focused payer strategy, and support or lead your negotiations to help you get the best rates.

3. Ongoing Contract Management

We set up and manage a Contract Management System, track renewals, adjust strategy as your market or practice changes, and help resolve payer disputes.

Primary Care Provider

Contract Analysis + Value-Based Care Agreements Across Multiple States.

We conducted a full analysis of all existing payer contracts and developed a reimbursement matrix focused on the top 75% of billed codes, projecting revenue over future years. Our team built and maintained relationships with key payers and implemented new value-based care agreements. We also supported the client’s expansion into multiple states by providing market research and reimbursement analysis for each targeted region.

Mental Health & Addiction Center Growth

New Services Integrated Into Payer-Compliant Models.

We partnered with the client to expand services by adding primary care and pharmacy offerings. This included reviewing existing contracts and fee schedules, developing a payer-compliant program, and designing a strategy to approach payers with the new service model and reimbursement expectations. Our ongoing advisory included preparing the client for payer meetings and supporting active negotiations.

Physical Therapy Group

Market Entry & Reimbursement Positioning

To support multi-state expansion, we delivered a detailed market and reimbursement analysis that included average rates for the top revenue-generating codes, competitor insights, and employer contracting opportunities. We helped the client understand the size and dynamics of each market and developed a targeted payer strategy for entry. A custom reimbursement matrix was created to guide the client’s rate expectations and strengthen their negotiation position.

Healthcare Strategist & Contracting Executive

Margaret Braxton is a visionary and results-driven healthcare executive with a proven track record of spearheading innovative payer strategies, value-based contracting, and regulatory research to drive exceptional organizational outcomes. Well known for a strategic mindset and ability to align complex healthcare policies with operational goals, delivering measurable improvements in cost efficiency, care quality, and market positioning. Expert negotiator, strategist, and transformative leader, adept at forging strategic partnerships and optimizing provider networks to enhance access, reduce expenses, and foster collaborative innovation. Possesses exceptional communication and mentoring abilities, having built and led high-performing teams that consistently exceed objectives and redefine industry standards.

Work With Us

What does a fractional payor contract consultant do?

A fractional consultant provides expert-level payer contract strategy and negotiation support on a part-time or project basis. Access senior-level expertise, an alternative to a full-time hire as a short-term or long-term strategy. This flexible model is ideal during periods of growth, acquisition, or operational transition—delivering targeted leadership exactly when it’s most critical.

How does this service support private equity-backed healthcare groups?

Private equity groups often acquire multiple practices with different payer agreements and reimbursement rates. We provide clarity, identify financial leakage, standardize payer strategy, and renegotiate rates to improve margins across the entire portfolio, ensuring the platform is optimized for scale and future value.

Can you help during the consolidation, aggregation phase?

Yes. During practice aggregation, we perform contract reviews, flag risks, assist with payer notifications, align contract language across locations, and guide renegotiations where necessary. This prevents revenue disruption and ensures a smooth financial and operational transition.

Why partner with Amplify Health Consultants?

Most internal teams are stretched thin and may lack the specialized expertise required for high-stakes or mult-site payer contract alignment. Amplify offers:

Focused Expertise: Our team brings deep experience in payer negotiations, contract strategy, and healthcare reimbursement models.
Data-driven Strategy: We leverage market intelligence, CMS-compliant pricing data, and competitive analysis to inform every decision.
Private Equity-Aligned Thinking: We understand the financial and operational priorities PE-backed organization and tailor strategies to maximize value.
Risk Mitigation: Avoid costly oversights and unfavorable terms that can impact revenue and compliance.

Do you work with our existing team or external partners?

Yes. We regularly collaborate with fractional CFOs, healthcare attorneys, MSO leadership, and RCM teams. Whether part of due diligence, financial reviews, or integration planning, we act as a strategic partner — not a replacement for your existing experts.

Who do you work with?

We partner closely with investment firms, healthcare executives, MSO leadership, revenue cycle (RCM) teams, and clinical and operational leaders. Whether supporting due diligence, financial reviews, or integration planning, we act as a strategic extension of your organization—not a replacement. Our collaborative approach ensures cross-functional alignment, informed decision-making, and successful outcomes during key periods of growth, acquisition, and operational transition.

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