How To Contract With Payors

This course teaches you the essentials of contracting with payors, including strategy, presentations, negotiations, and deal closure. By the end, you'll have a personalized playbook to navigate future contracting endeavors confidently.
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7/8 - 7/18
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Contract like a pro

Join us for four live sessions featuring lectures, guest speakers, and hands-on activities. We'll demystify the payor contracting process, covering operational readiness, strategic approaches, effective presentation techniques, and rate negotiations. We've simplified contracting with payors to make it easy for you to learn.
Sam Bader, CEO at Stealth
“David and Molly were excellent instructors who taught me valuable payor contracting skills. It was helpful to see some real life example contracts with annotations of areas to focus on while negotiating. Overall, a wonderful experience and I'd definitely recommend!”
Felix Pomerantz, CFO at CopilotIQ
“One of the highest ROI I’ve spent since joining the team.”
Aidan Dewar, Co-founder at Nourish
“Out-of-pocket courses have been a great resource for our team. US Healthcare knowledge can be quite esoteric, but Out-of-Pocket courses make the content engaging and accessible!”
Sam Bader, CEO at Stealth
“David and Molly were excellent instructors who taught me valuable payor contracting skills. It was helpful to see some real life example contracts with annotations of areas to focus on while negotiating. Overall, a wonderful experience and I'd definitely recommend!”
Felix Pomerantz, CFO at CopilotIQ
“One of the highest ROI I’ve spent since joining the team.”
Aidan Dewar, Co-founder at Nourish
“Out-of-pocket courses have been a great resource for our team. US Healthcare knowledge can be quite esoteric, but Out-of-Pocket courses make the content engaging and accessible!”
Sam Bader, CEO at Stealth
“David and Molly were excellent instructors who taught me valuable payor contracting skills. It was helpful to see some real life example contracts with annotations of areas to focus on while negotiating. Overall, a wonderful experience and I'd definitely recommend!”
Felix Pomerantz, CFO at CopilotIQ
“One of the highest ROI I’ve spent since joining the team.”
Aidan Dewar, Co-founder at Nourish
“Out-of-pocket courses have been a great resource for our team. US Healthcare knowledge can be quite esoteric, but Out-of-Pocket courses make the content engaging and accessible!”

Things You'll Get From This Course

Understand Payor Priorities

Learn payors' inner workings, thought processes, and departmental priorities to build successful relationships.
1

How to present

Discover how to deliver impactful presentations to decision-makers by asking the right questions and addressing common objections.
2

Negotiation

Master best practices for negotiating FFS and VBC contracts to achieve favorable terms and rates.
3

Community Learning

Join and learn with diverse, high-caliber industry professionals on Slack.
4

Meet Your Instructor,

Meet Your Instructors

Molly Moore

I’ve worked in healthcare since 1996. Spent 6 years in the provider and rev cycle side, 10 years at payors Aetna, United, and Regence BCBS. Earned my MBA in 2012 and after that, I worked in Rev Cycle Consulting, and then Venture Capital. Ran a 20,000 life self-funded Taft-Hartley plan. In 2018, I Co-Founded my first company called Decent, building an entire health plan from scratch in under 12 months. In 2021, I re-started my consulting company, Formidable Nerd. Zero Card in 2022 building a national bundled services network. In 2023, I co-founded Bramble and became its CEO. Turquoise Health acquired Bramble in 2024, where I currently serve as General Manager.

In addition - I have been a certified professional coder, I have worked with 30+ startups on GTM and business development plans, I have been working on Value-based contracts since 2008, and am passionate about creating efficiency in healthcare. I am truly here to help you disrupt, create, and ultimately improve the way healthcare works in the US. 

David Ricupero

Over the past eight years, I've been deeply immersed in the digital health sector, focusing on business development roles with a primary emphasis on selling to health systems and payors. Today, I play a key role in leading a national provider contract with payors at various levels. Throughout the country, I've worked on both fee-for-service and value-based contracts, guiding them from the initial phone call through presentation, negotiation, and finalizing signed contracts. As a co-creator of this course, my goal is to provide a resource that I wish I had during my journey—a tool to quickly get up to speed and avoid unnecessary mistakes, ultimately accelerating your development in payor contracting.

Course Syllabus & Schedule

Module 1

Day 1

The fundamentals

July 8th, 6-7:30 PM EST

Day 1 baby!. We'll delve into the fundamentals of payors and evaluate your business's operational readiness for contracting. You'll learn how to prepare your business for successful payor partnerships and be guided through ten key questions to determine if contracting with a payor is suitable for you. Pre-reading materials will be provided to enrich your learning experience.

Module 2

Day 2

Getting started with contracting

July 11th, 6-7:30 PM EST

you will learn about the different types of contracts offered by payors, including FFS, Value-based, and Vendor contracts. You'll develop a contract strategy, understand regulatory requirements, and learn how to identify and approach suitable payors. We cover payor applications, outreach techniques, and a repeatable outreach formula. You'll also gain insights from a payor guest speaker on streamlining the contract process and identifying the right individuals to initiate discussions with.

Module 3

Day 3

How to present and negotiate with a payor

July 15th, 6-7:30 PM EST

Here comes the good stuff! Day 3, you'll master the art of presenting to payors. Learn how to deliver impactful presentations, prepare effectively, and understand payor priorities. You'll explore effective presentation structures, how to address common objections and strategies for negotiating contract rates. The course also covers best practices for closing contracts and what to look for in the fine print. Gain valuable insights from a payor guest speaker on Value-Based negotiation.

Module 4

Day 4

You’re contracted. Now what?

July 18th, 6-7:30 PM EST

You made it! On the last day, we cover what to do after securing a contract. Topics include understanding credentialing, collaborating with provider relations, building referral relationships, and contract renewal strategies. You'll also explore prerequisites for negotiating national contracts and demonstrating value. The course concludes with an extended Q&A session where you can discuss current challenges and find solutions through group discussions.

Module 5

Day 5

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Module 6

Day 6

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Module 7

Day 7

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Module 8

Day 8

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Module 9

Day 9

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Module 10

Day 10

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Frequently Asked Questions

Who this course is for?

Professionals and organizations involved in payor contracting that are looking to elevate their knowledge.

Professionals and organizations new to payor contracting and eager to learn the entire process from start to finish.

Professionals and organizations interested in gaining insights into payor contracting for personal knowledge.

Who this course is not for?

Seasoned professionals in payor contracting with 10+ years of experience

How much is it?

$1,500, which includes access to the recorded content and slides in perpetuity (~6 hours of class plus additional time with guest speakers)

Do I have to be at every session?

No. Can’t make it? No problem. All lectures will be recorded and accessible in our course management tool. You can still catch up if you miss a session by viewing the recorded content.

Is there a lot of work?

No, the work outside of the course session is optional.