Negotiation opportunities with health insurance providers go far beyond the mandatory annual rate adjustments required by Brazilian Law 13,003/14 and regulated by regulatory resolutions 363, 364, and 365.

Because Radiology and Diagnostic Imaging examinations involve higher costs and greater frequency than other medical specialties, health insurance companies have spent the last 20 years focusing on strategies to reduce payouts for these procedures.

To reverse this trend, healthcare services must understand how these financial reductions occurred and determine which negotiation strategies to implement for each scenario—keeping in mind that strategies vary based on the specific issue and the market share size of the payer.

In this module, we will provide a practical approach on how to negotiate effectively with healthcare insurance companies to achieve optimal financial and operational results.