Transform payer pressure into revenue strength

Health systems are operating inside a revenue ecosystem under structural stress.

Sustainable revenue depends on earlier, clearer decisions

Sustainable revenue requires earlier, more confident decisions. Vizient connects payer strategy, market intelligence, and financial expertise to help leaders strengthen reimbursement outcomes, optimize payer mix, and improve net revenue yield. Move beyond reactive contract negotiations through integrated forecasting, modeling, and strategy that aligns contract performance, payer mix evolution, and enterprise priorities.

Joyjit-Choudhury_headshot.jpg
Payers and providers that commit to radical collaboration will need to work through multiple facets of their partnership structure, including governance models and incentive sharing. These efforts will require greater trust between parties, appropriate tools and safeguards, and a greater sense of imagination and creativity to identify and develop a future shared operating and business model.

Joyjit Saha Choudhury

Managing Director,

Kaufman Hall

Payer mix shifts demand strategy

Medicaid enrollment declines while uninsured populations rise, requiring proactive financial planning to protect margins and sustain care delivery.

23%

Medicaid enrollment

According to our forecast, Medicaid enrollment is expected to decline to 23% of the overall payer mix between 2026-2031.

+12%

Uninsured patients

The proportion of uninsured patients is projected to rise to 12% by 2031.

Treat payer strategy as an enterprise growth discipline

STRATEGY

Treat payer strategy as an enterprise growth discipline

Connect contract strategy, market intelligence, and financial planning so payer decisions strengthen net revenue yield across the portfolio rather than reacting one negotiation at a time.

Build value-based partnerships that can actually perform

PERFORMANCE

Build value-based partnerships that can actually perform

Support value-based models with the operating discipline, partnership evaluation, and care-delivery alignment required to create sustainable return.

See structural pressure before it hardens into crisis

RESILIENCE

See structural pressure before it hardens into crisis

Use stronger visibility into payer mix shifts, denials, and reimbursement volatility to act earlier and build more resilient revenue strategy.

ASSESS YOUR ORGANIZATION

See your organization's performance in perspective

See how you compare and where to focus next.