BC Advantage - 2022 Issue 2

How to Negotiate Physician Payer Contracts

There is a dynamic shift in the healthcare arena where insurance payers are willing to negotiate reimbursement rates for small and mid-size physician groups. The reason for this is because insur-ance payers are starting to realize that the 'bread and butter' of their network consists of small to mid-size groups (1-10 physicians) and they have been ignoring this subset for far too long. Insurers are also starting to realize that if they continue to ignore this segment of the network, these physicians will be forced to join larger groups that have more leverage to negotiate higher reimbursement rates...

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