Payer Contract Negotiations

A viable pediatric practice needs to be able to analyze and effectively negotiate healthcare payer contracts. Review some helpful resources here.

AAP Payer Advocacy

The Academy works on payer issues, both private (commercial) and public (Medicaid). Learn more about how the AAP is advocating for you.

Payer Resources

Find quick and easy access to National Payer’s policies including coverage, payment and clinical policies.

The Business Case for Vaccines

To support and sustain administering vaccines in the medical home, providers must be adequately paid for vaccines.

Hassle Factor Form

For issues related to coverage or claims adjudication from both private (commercial) or public (Medicaid or Managed care) click here to fill out a form on our Coding Hotline.

Last Updated

02/19/2025

Source

American Academy of Pediatrics