Healthcare providers risk losing significant revenue when managed care contract negotiations do not focus on key reimbursement opportunities. Such opportunities often seem obvious yet they can represent large dollars lost if not pursued to the end with the payor. When one considers that pass thru's for implants and/or high cost drugs, stop loss, outlier days on case rates, implants for outpatient surgery, etc., can each represent a large percentage of the expected net revenue for a given contract it is easy to see how such opportunities could result in a significant loss of net revenue for hospitals. Given that rate negotiations can take days, if not weeks, it is important that the team has a means to evaluate payor performance in order to assist in prioritizing your negotiation efforts. A key consideration in the rate modeling process is how the results of the modeling process are calculated and presented in order to make decisions on specific contract rates. Another area of focus is how to collaborate with your business office to identify terms of payor agreements that need to be renegotiated.