

Elevating Revenue for Medical Practices
Founded and led by seasoned payor and medical-services executives with over a century of collective healthcare experience, our boutique consultancy specializes in driving revenue growth and cash flow improvement for multisite and private equity-backed physician practices and healthcare facilities. We offer a sophisticated suite of core services centered on Fee-For-Service (FFS) and Value-Based Care (VBC) payor contract negotiations, strategically enhanced by curated Price Transparency data to give our clients a competitive edge in the market.
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
Contract Negotiation & Market Intel
Benchmark your reimbursement rates by payor & rank versus peers across the market with price transparency data
Data driven payor-facing narrative with peer rate comps and network coverage metrics to support negotiation process
Utilizing longstanding relationships with national and regional payors, we negotiate improved rates that close the reimbursement gap versus peers
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
Contract Negotiation & Strategy
Benchmark & renegotiate VBC cap rates, POPs, KPIs, risk corridors
Structure upside & downside risk economic terms for patient populations
Originate VBC partnerships with MSOs, IPAs, CINs, ACOs
Post execution monitoring, performance metric tracking
Market Intelligence Services
Market Analysis & Strategic Growth
Map competitor & payor networks by specialty and geography to identify high-yield referral patterns and market gaps
Identify untapped opportunities in payor networks and products your practice is not currently participating with
Project revenue & margin impact for potential expansions or new site selections with data-backed financial modeling




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

Who We Help
We partner with healthcare leaders and investors to navigate complex reimbursement landscapes and drive measurable financial growth.
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Specialty Medical Groups & MSOs
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Primary Care Medical Groups
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ASCs & Outpatient Facilities
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Private Equity Platforms
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Ancillary Providers, Labs & Diagnostics


Mission
To help medical groups achieve financial success and sustainability in an evolving and complicated healthcare landscape.












