

Select current and past engagements






Accretive is a specialized consultancy providing expert payer negotiation and revenue analytics services to medical groups. Leveraging our deep national connectivity with payer leadership and proprietary market and reimbursement data, we strengthen your position for payor negotiations. Our expertise enables us to secure competitive Fee For Service (“FFS”) and Value Based Care (“VBC”) contracts that optimize your financial performance.
Our Capabilities
Fee For Service Payor Contract Negotiation
Rate Negotiation & Contract Management
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Deal structuring and negotiation with all BUCHA (BCBS, UHC, Cigna, Humana, Aetna) and other material payors.
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Intelligent and competitive rates based on actionable and accurate market rat benchmarking by specialty and geography.
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Financial Analysis of existing rate structures and projections on fee schedule modifications.
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Contract management system with automated term summaries and timelines to streamline the negotiation process.
Market Analysis
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View competitor and payor network footprints clearly by specialty and geography.
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Identify payor networks and products which clients are not currently participating with; project revenue and margin impact.
We create value for specialty and primary care medical groups by accelerating revenue and EBITDA growth.

Three Core Services

Value Based Care Payor Contract Negotiation
Economic Negotiation & Contract
Management
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Review existing VBC contracts and financial performance to understand effective reimbursement rates, performance KPIs and risk terms and compare to market benchmarks.
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Deal structuring and negotiation with MA/risk payors or other risk-taking intermediaries.
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Optimize revenue per patient while balancing risk-to-reward dynamics.
Value Based Care Strategy
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Develop value proposition based on client capabilities which tie to incentive-based payment structures for high-quality and low-cost performance.
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Originate VBC opportunities with Payors or other risk-taking intermediaries (MSOs, IPAs, CINs, ACOs, multi-site PCPs).
M&A Pipeline and Strategic Growth
Pipeline Development
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Assist medical groups, Management Service Organizations (MSOs), private equity firms, and other strategic healthcare investors with development of M&A and strategic growth pipelines. This is based on based on specialty, geography, medical group size, performance and BUCHA rate benchmarking.
Additional Strategic Support Services
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Comprehensive market analysis to assess opportunities and understand competitive, demographic and reimbursement landscape. “Black-box analysis” to define revenue impact to M&A deals for buyers/sellers while keeping contracted rates and terms confidential.
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Strategic alliances to drive collaborative growth and create leverage with Payors.



Accretive
[uh-kree-tiv]
Adjective
1. increasing by natural growth or gradual addition
2. growing together from separate or disparate parts into a single whole
3. contributing to the growth or increase of something, especially profit
