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Your commercial payer contract just got a proposed rate cut, and providers may not realize it until it hits revenue in 2027. On Sept 14 the comment period closed for CMS' proposed 1.68% cut to the 2027 Medicare conversion factor, final rule will be out on Nov 1. Every article I've read frames it as a Medicare-only story. It isn't. Many commercial payer contracts are still written as a percentage of Medicare. When Medicare's base rate falls on January 1, your commercial rate falls with it. Automatically. On every relevant code, on every contract indexed to the fee schedule. On a $180M commercial book with 68% of contracts Medicare-indexed, that's roughly $3.5M walking out the door in Q1. Before anyone at your organization notices. I keep asking RCM & Managed Care leaders three questions: 1. Which of your commercial contracts are Medicare-indexed, and which have base-year locks? 2. Where do your top 20 codes sit vs. peers in your market today? 3. Which contracts open for renegotiation before 2027? Most can't answer #2 or #3 in less than a week. That's the gap. Full breakdown, worked example, and the 5-day rate-check offer we're running for provider orgs through October are all in the post. https://lnkd.in/gTHGP76p

One of my favorite moments on a discovery call is when someone says, "We've actually been using OpenPayer for a while." It completely changes the conversation. Instead of explaining why access to payer policies matters, we're talking about how provider organizations can use that information to strengthen payer performance, improve reimbursement, and prepare for negotiations. Seeing OpenPayer surpass 25,000 monthly users is exciting because it tells me we're solving a real problem for healthcare organizations. It's also creating opportunities to have deeper conversations about the broader challenges provider teams are facing across managed care, finance, and revenue cycle. Congratulations to everyone at Trek Health who helped make this milestone possible. If you're looking for a better way to stay on top of payer policies or want to see how provider organizations are using that information to improve financial performance, I'd be happy to connect. Feel free to reach out. https://lnkd.in/g6Fsk9GC

25,000 monthly active users. OpenPayer started with a simple observation: providers were losing hours every week searching payer websites for information they needed daily. It felt like a problem that should have been solved years ago. This month, OpenPayer crossed 25,000 monthly users. That's 25,000 people getting answers in one place instead of chasing them across a dozen portals. Press release below. If payer complexity is slowing your team down, let's talk. https://lnkd.in/gnXrdHQg

One of the things I enjoy most about working with provider organizations is seeing how quickly small improvements can make a big impact. Something as simple as making payer information easier to find can save teams hours every week and help them respond faster when policies change. That's why seeing OpenPayer reach 25,000 monthly users is such a meaningful milestone. It's proof that healthcare organizations are looking for practical tools that remove friction from their day-to-day work. And for many of the people I speak with, OpenPayer becomes the starting point for broader conversations about reimbursement, contract strategy, and improving payer performance. If you'd like to see how organizations are using OpenPayer and the broader Trek platform to strengthen payer performance, send me a message. I'd be happy to walk you through it. https://lnkd.in/e657iEkQ

When a patient's care depends on whether a payer covers a procedure, "I think so" isn't a safe answer. But navigating payer policy documents is complex, slow, and full of jargon most providers aren't trained to decode. Coverage denials have hit record highs. Every unclear policy is a liability. And if your staff is relying on memory, outdated printouts, or phone calls to payer reps — you're one policy change away from a costly mistake. OpenPayer lets you ask coverage questions in everyday language and get answers backed by official source documents — no codes, no jargon, no guessing. Every response links directly to the policy it came from, so you can verify in one click.

What's the cost of missing a payer policy update? Most organizations don't find out until reimbursement is affected. Every month, payers publish policy changes that can influence coverage requirements, documentation expectations, and payment outcomes. Keeping up manually is nearly impossible. That's why we built Policy Alerts. OpenPayer continuously monitors policy activity across the payers, states, service lines, and policy numbers you choose and alerts you when relevant changes occur. No searching payer websites. No manually tracking updates. No discovering changes after they've already had an impact. Just a simpler way to stay informed. Explore Policy Alerts and sign up for free today.