How to Negotiate Physician Payer Contracts

Article Overview

This article discusses physician payer contract negotiation in the context of small and mid-size practices. It explains why insurers may be open to renegotiation, what practice leaders should evaluate in proposed contracts, and how to assess whether outside consulting help is worthwhile. The piece is aimed at physicians, practice administrators, and coding or revenue cycle professionals who want to understand the broad factors involved in payer reimbursement discussions without relying on assumptions about aggregate increases.