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How does it work?
Insurance Contracts
INN & OON
Going In Network or Staying Out of Network
INN Benefits
- Higher & More Consistent Census
- Predictable Cash Flow
- Higher Effective Reimbursement
- Regulatory Tailwinds
- Patient Accessibility & Mission Alignment
- Staff Recruitment & Retention
OON Benefits
While most programs are better off with at least selective in-network contracts, a small, elite segment of the market still thrives by remaining fully or mostly out-of-network.
- Voluntary rate Negotiation
- Treatment and Care
- Faster Cash Flow (When collected)
- Privacy & Exclusivity Branding
- Ability to “Single-Case Agreement” (SCA) When approved
The (Hybrid) Approach
Hybrid Revenue Model: Maximize Volume and Margin
Strategic facilities now deploy a three-tier approach to optimize census and reimbursement:
- Selective In-Network
- Out-of-Network
- Private Pay
This model balances volume stability (INN) with margin optimization (OON/private pay) generating superior financial performance versus single-strategy approaches.
ValKri builds customized payer mixes that maximize your facility's revenue based on market position and operational capacity.