Tips for Ryan White HIV/AIDS Program (RWHAP) recipients and sub-recipients on ways to improve contracting and billing processes. Tips are presented in sequential order but can be applied at variable points in time.
Components
Tool for assessing your organization’s strengths and gaps in areas that (1) are important to insurers and (2) support maximizing revenue from contracting activities.
Review of contracting opportunities (e.g., marketing when negotiating contracts) for Ryan White funded agencies that provide medical care and other services.
Review of how agencies can market their services to health insurers. Covers the basics of marketing, how to develop a marketing plan, getting a first meeting with insurers, and how to make a compelling pitch.
Tool for conducting a cost analysis (determining the unit/average cost of a service) for purposes of billing and securing reimbursement for services provided.
Tips for negotiating contracts with insurers.
Steps agencies can take to bill for services that enhance their financial sustainability.
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans.