Nine capabilities across the payer and deal lifecycle — from the contracting table, through recovery and defense, to the transaction and beyond. Engage one, or engage the whole arc.
Most firms sell one piece of this. Fulcrum works the whole lifecycle — because the rate you negotiate, the way it is configured, and the way it is defended are the same problem at three different moments.
Secure the rate, get credentialed, and make sure the contract actually pays what it says.
Commercial, Medicare Advantage, and Medicaid agreements negotiated and executed to secure higher rates and stronger terms across your payer portfolio.
Explore capability → 02Enrollment with commercial plans, Medicare, Medicare Advantage, and Medicaid nationwide — for new practices, new facilities, new Tax IDs, market expansion, and acquisitions.
Explore capability → 03Payer contracts and fee schedules gathered, interpreted, and turned into expected payment logic inside your billing, EMR, EHR, and contract management systems.
Explore capability →Pursue the dollars payers got wrong, and defend the ones they come back for.
Our proprietary reimbursement intelligence platform validates every claim against contractual methodologies — detecting underpayments, quantifying revenue leakage, and driving recovery and payer accountability at scale.
Explore FulcrumIQ → 05CMS, HHS, state Medicaid, and commercial policy change interpreted and quantified — recovering underpayments, defending against recoupments and audits, and resolving complex payment disputes.
Explore capability → 06Regulatory expertise, operational design, and analytics for one of healthcare's most complex reimbursement environments — winning out-of-network strategy for providers and health plans.
Explore capability →The data behind the negotiation, and the reimbursement view behind the deal.
Advanced analytics, expected pay modeling, market transparency data, and executive reporting that benchmark your rates against the market and turn your data into negotiating leverage.
Explore capability → 08The managed care diligence discipline that quantifies what reimbursement will do after close — code-level rate benchmarking, contract mechanics, and forward value.
Explore capability → 09Buy-side and sell-side reimbursement diligence, Quality of Reimbursement, and value-creation strategy across the deal lifecycle — for the reimbursement risk most deals underweight.
Explore capability →Where is reimbursement leaking, and what is it worth to fix? Tell us where you sit — a health system, a specialty practice, a health plan, or a sponsor mid-diligence — and we will map the fastest path to stronger reimbursement.