New payer contracting
Assess network opportunities, prioritize payers, develop the value proposition, and pursue commercial or Medicare Advantage participation.
Managed care consulting for ambulatory healthcare
Better payer contracts.
Stronger performance.
We help healthcare organizations negotiate, implement, and manage payer agreements that support access, reimbursement, and sustainable growth.
The contracting lifecycle
- 01Assess the opportunity
- 02Model and negotiate
- 03Implement the agreement
- 04Monitor performance
From the first payer conversation through the operational life of the contract.
What we do
A signed agreement is only the beginning.
Payer relationships affect far more than a negotiated rate. Credentialing, contract language, fee schedules, effective dates, claims administration, and policy changes all shape the result.
Surgical Innovation Partners brings these pieces together. We pair payer strategy and financial analysis with the follow-through needed to make an agreement work in practice.
Services
Support across the full contract lifecycle.
Engagements are shaped around each organization’s market, payer relationships, service mix, and internal resources.
Contract renegotiation
Build a supportable case for updated terms using reimbursement analysis, market context, service mix, and payer-specific strategy.
Financial modeling
Translate proposed rates and reimbursement methods into case-level, service-line, and overall financial implications.
Contract and reimbursement review
Examine business terms, reimbursement exhibits, and administrative provisions that can affect contract performance. We coordinate with client counsel where legal advice is needed.
Credentialing and implementation
Track applications, participation, effective dates, payer-system loading, and the operational steps between signature and payment.
Contract management and intelligence
Organize agreements and amendments, track deadlines and policies, and use AI-assisted analysis to make contract terms and performance issues easier to see and act on.
Who we serve
Focused on the organizations delivering care.
Our work is built around the financial and operational realities of ambulatory healthcare.
- Ambulatory surgery centers
- Independent physician practices
- Specialty and multispecialty groups
- Hospital-affiliated ambulatory providers
- Diagnostic and imaging facilities
- Vascular, interventional, and other ancillary providers
Our approach
Strategy that carries through to execution.
We look at the agreement as an operating relationship, with work to do before and after it is signed.
01
Understand the position
Review payer access, reimbursement, service mix, existing terms, and growth objectives.
02
Build the case
Set priorities, model proposals, and develop a credible payer-facing value narrative.
03
Carry it through
Coordinate negotiation, credentialing, execution, effective dates, and implementation.
04
Keep it visible
Track contract terms, payer policies, renewal dates, and issues that affect performance.
About the firm
A focused partner for complex payer work.
Surgical Innovation Partners is a managed care consulting firm serving ambulatory healthcare organizations. We primarily work on behalf of providers and facilities in their relationships with commercial and Medicare Advantage payers.
Leadership
Julie Pearlman
Principal
Julie leads the firm’s approach to payer contracting, reimbursement strategy, and implementation. Her experience spans ambulatory surgery centers, physician organizations, and specialty providers.
Our work is grounded in practical execution, financial analysis, and an understanding of how payer terms affect care delivery.
Frequently asked questions
A few practical answers.
Do you handle new contracts and renegotiations?
Yes. We support new commercial and Medicare Advantage agreements as well as renegotiation of existing payer contracts.
Can you assist after an agreement is signed?
Yes. Depending on the engagement, we can coordinate credentialing, effective-date verification, fee-schedule loading, operational handoff, and ongoing performance review.
Do you provide legal advice?
No. We provide managed care, reimbursement, operational, and business consulting. When legal advice is needed, we coordinate with the client’s legal counsel.
Get in touch
Let’s discuss your managed care priorities.
Whether you’re pursuing a new payer agreement, preparing for renegotiation, opening a facility, or addressing a contract performance issue, we can help evaluate the next step.
For consultation inquiries
contact@srgipartners.com
Please do not send protected health information or patient-specific details by email.