Navigating Payor Relations: A Guide for Emerging Health Care Companies

Below is an excerpt from a guide developed by Manatt Health to help companies navigate payor relations. Click to read the full guide and recommendations.

Many common early stage go-to-market strategies of the past decade—including direct-to-consumer (DTC) and employer benefits purchasing (separate from their health insurance offering)—are facing growing regulatory, operational, and financial headwinds. As a result, health care companies are increasingly evaluating other growth opportunities, including pursuing commercial and government insurance reimbursement. The perceived ease of entry and scalability benefits of payor relationships understandably appeal to many leaders.

This guide is designed for founders, operators, and leaders at companies facing such a fork in the road: “How do you determine whether pursuing a payor go-to-market strategy is a good fit for your company, and if so—how do you get it done?” To help answer that question, we developed a framework for decision-making for you to .