Skip to main content
Service

Negotiate every payer contract with the leverage of a network.

Metolius negotiates across your full payer mix as one coordinated effort — pursuing rate improvement, Medicare Advantage terms, and a structured path toward capitation. Every contract is administered in PracticeOS and surfaced in myMetolius, so terms and renewals never catch leadership off guard.

The reality

Rates set one entity at a time leave leverage on the table.

Health systems, FQHCs, MSOs, and multi-site groups often negotiate payer by payer, entity by entity — with contracts scattered across spreadsheets, renewal dates that arrive unannounced, and terms no one can compare at a glance. The organizations winning better economics negotiate with expertise and scale on their side, and they can see every contract in one place. Metolius brings both: a dedicated contracting team negotiating across your whole payer mix, and a single administered view of the entire portfolio.

What we do

What Metolius runs for you.

Negotiate as one operation

Your full payer mix is negotiated as a coordinated portfolio by a dedicated contracting team, pursuing rate improvement and terms rather than renewing agreements in isolation.

Medicare Advantage contracting

Structured negotiation of Medicare Advantage rates and terms across your plans and markets, managed as one coordinated effort rather than a series of disconnected renewals.

A path to capitation

As your value-based capabilities mature, Metolius builds the contracting readiness that risk and capitation arrangements require — sequenced deliberately, not rushed.

One contract portfolio, watched live

Every payer agreement, rate, and renewal date administered in PracticeOS and surfaced in myMetolius — so terms and deadlines never catch leadership off guard.

How it works

From first call to live operation.

1

Portfolio discovery

We inventory every payer contract, rate schedule, and renewal date across your entities and markets — the full landscape, mapped in one place before anyone approaches a table.

2

Negotiate across the mix

A dedicated Metolius contracting team negotiates and re-negotiates across your payer portfolio, coordinating renewals rather than handling them one at a time.

3

Administer and monitor

Executed contracts live in PracticeOS. Rates, terms, and renewal windows are tracked continuously and surfaced in myMetolius, so nothing lapses and nothing surprises you.

4

Build toward risk

As value-based readiness grows, we sequence the contracting path toward shared-savings and capitation arrangements — coordinated with your revenue cycle and VBC operations under one SLA.

What changes

What your operation feels like.

A single negotiating strategy
Contracts pursued by a dedicated team working your full payer mix as one portfolio, instead of entity-by-entity renewals with no unified strategy.
A coordinated payer portfolio
Every agreement, rate, and renewal date administered in one operating layer instead of scattered across systems and inboxes.
Readiness for risk-based contracts
A deliberate, supported path toward Medicare Advantage improvement, shared savings, and capitation as your value-based capabilities mature.
Renewals you can set your systems by
Terms and deadlines surfaced live in myMetolius, so contracting decisions are made on time and with full visibility.

See what your payer portfolio looks like negotiated as one.

Backed by fifty years of combined enterprise depth — Continuant and PPS — with 1,000+ clinics on the platform today.