Capability

    Management & Administrative Services Agreements

    Clear support for the economics behind your management fee.

    Management agreements can combine staffing, technology, finance, administration and other support in a single fee. Understanding whether that fee is reasonable starts with understanding what the arrangement actually provides.

    Cabra Consulting evaluates the economics of management and administrative services arrangements for healthcare organizations, management services organizations and their advisors. The analysis connects the scope of services, operating responsibilities and fee structure with the financial support needed for the decision at hand.

    01

    When a closer review is useful

    A new agreement, a renewal or a change in the services provided can alter the economics of a management fee. An acquisition or joint venture may also introduce different responsibilities, scale or payment terms.

    • New or renewed management agreements
    • Changed services, responsibilities or fees
    • Acquisitions, joint ventures and changes in ownership
    02

    How Cabra can help

    The work begins with the actual agreement rather than a fee percentage viewed in isolation. Defining what each party provides helps distinguish shared costs, practice-level responsibilities and the management company's economic role.

    • Define the scope, responsibilities and payment terms
    • Evaluate fees against costs, scale and comparable evidence
    • Compare fee structures and their financial implications
    • Prepare supported conclusions for the decision and its advisors
    03

    Analysis tied to the actual arrangement

    Cost allocation, responsibilities, scalability and comparability all affect the interpretation of a fee. A structure that supports one set of services may not support a different arrangement with different obligations.

    An agreed scope may include an FMV opinion, financial analysis or comparison of fee alternatives, coordinated with the organization's legal and other advisors. The work translates the agreement's economics into clear financial and valuation support for decision-makers.

    Start with the facts

    Discuss your arrangement.

    Planning a new agreement or reviewing an existing management fee? Contact Cabra Consulting to discuss the arrangement, the decision you need to make and the support required.

    Discuss your arrangement