Strategic Pricing. Supplier will provide recommendations for the implementation of strategic pricing changes on an annual basis based on both market sensitivity and revenue impact. The revenue impact of the strategic pricing changes will be tracked on a quarterly basis. The additional revenue improvement for this initiative will be the amount over and above the revenue increase that would have been historically achieved by an across the board price increase which Eligible Recipient typically implements. The revenue improvement will be measured using contract modeling simulation software. ASCENSION HEALTH CONFIDENTIAL Exhibit 4-C Page 4 APPENDIX D - Physician Advisory Services Physician Advisory Services (Accretive PAS®) General Service Introduction Supplier shall provide Services and billing recommendations to help the Eligible Recipient ("Client") comply with applicable payor policies regarding the use of observation and inpatient admission classification status, level of care and other payor criteria which may be applicable to services provided by Eligible Recipient ("Recommendation"). The Recommendation will make no conclusion regarding the appropriateness of the clinical care currently provided to the patient, nor should it be used to limit the future provision of medical services and supplies to the patient. Client agrees that it will use the information and Recommendation solely for utilization review and claims management objectives, and that any decision regarding patient classification and care should be made by the Client’s qualified clinicians. The Recommendation should not be construed as reason to withhold medically-necessary care, nor does it mean that Accretive PAS® will provide any medical care or recommendations on medical care. In order to implement the Recommendation, Client may need to change the admission classification status. Whether or not to make such a change is a decision to be made only by the appropriately qualified Client clinicians in accordance with applicable federal and state law, commercial payer contracts, and hospital policies. Refer to the applicable payer benefits policies and claims processing manuals for clarification of the definitions and billing requirements for Inpatient and Observation Status that are used in the assessment Recommendation pursuant to this Agreement.
Strategic Pricing. Develop comprehensive pricing recommendations that balance rational and defensible prices, market positioning, and revenue capture opportunities both in the short-term and long-term. Deploy an iterative data driven process that focuses on selective price adjustments that yield greater net revenue potential for the organization than a standard across-the-board rate increase, Present recommendations to IMH leadership for approval.
