Unlocking the Code: Navigating Hospital Strategic Pricing

	October 31, 2023 By: Tara Bogart, Vice President Revenue Strategy

Of the various factors that impact your healthcare organization’s profitability, pricing is an often-overlooked lever that you have control over.

Even those healthcare organizations that do address pricing sometimes undermine their strategic pricing strategies by failing to address lesser-of-charge clauses or skipping the charge

 description master (CDM) modeling process, which can wreak havoc on their bottom line. The price transparency mandate added another layer of complexity, as raising prices to increase reimbursement may have adverse effects.

To help you overcome this conundrum, let’s examine the challenges of strategic pricing, “lesser of” charges, the hidden impacts of denials, and how modeling can help you leverage every opportunity to generate net revenue.

Read the full article to learn more about: 

• Navigating “lesser of” charges  
• The hidden impacts of denials 
• How your brand impacts your Strategic Pricing  
• How to know if changes translate to gains on net revenue