How to Decide to Contract with a Payer: Should You be Joining "the Network"?

Podcast: Value Based Care Advisory (VBCA) Podcast · Carenodes

Opublikowano: 2026-05-31

You've built the operation — clinicians credentialed, tech stack running, compliance buttoned up. Then a regional Medicaid managed care plan wants to talk about contracting. Your first instinct: great, let's do it. Then someone pulls up the 40-page contract with a 43-code prior authorization matrix and a data-sharing provision you're not sure sits cleanly with your other obligations. The fee schedule is fine. Not great — fine. And now the question isn't can we do this. It's should we, and on what terms? In this episode, Alex breaks down the payer contracting decision as what it actually is...