Payer Scorecards & JOC Prep

Engagement: Project | Delivery Time: 3-4 weeks | Tier: Growth

Project Summary: Data-backed governance for payer meetings.

Deliverables

• Scorecards by plan
• Issues log
• JOC deck

ROI Impact: Negotiation leverage ↑

Great For: Any multi-payer practice

Payer relationships are one of the most critical—and often most misunderstood—drivers of practice revenue. Without clear visibility into payer performance and a disciplined approach to JOC meetings, practices risk leaving money on the table, tolerating denials, and missing opportunities to renegotiate terms. The Payer Scorecards & JOC Prep service provides the tools, insights, and strategies to turn payer meetings into revenue‑protecting, performance‑driving opportunities.

What’s Included:

• Custom Payer Scorecards
  • Comparative analysis of payer performance across reimbursement rates, denial patterns, turnaround times, and administrative burden.
  • Visual dashboards highlighting payer strengths, weaknesses, and opportunities.
• Revenue Impact Analysis
  • Quantification of lost revenue tied to denials, underpayments, and slow adjudication.
  • Prioritization of high‑impact issues for payer escalation.
• JOC Meeting Preparation
  • Development of structured agendas aligned with payer scorecard findings.
  • Talking points, negotiation strategies, and escalation pathways.
• Provider & Leadership Alignment
  • Internal briefings to ensure executives and clinical leaders present a unified front.
  • Training on how to frame payer issues in terms of patient access, quality, and compliance.
• Follow‑Up & Accountability
  • Documentation of payer commitments and timelines.
  • Ongoing monitoring to ensure promises translate into measurable results.

Why It Matters

JOC meetings are not just administrative check‑ins—they are strategic battlegrounds where payer relationships are defined and revenue is won or lost. Walking in unprepared means accepting the status quo. Walking in with Payer Scorecards & JOC Prep means you control the narrative, highlight the data, and secure outcomes that protect your margins and your mission.

📊 Before & After Payer Engagement Snapshot