Commercial Insurance

Deal or No Deal: Negotiating Contracts

 

Negotiating a health plan contract is one of the most important business moves an independent physician can make.

TMA survey data from June 2018 shows that on average, 43% of responding physicians secured changes to contract terms, payments, or both.

Learn How to Negotiate

TMA Advocacy

2024 Legislative Testimonies

TMA Seeks Improvements to Health Insurance Coverage, Health Care Policies
(TMA Testimony to the Senate Health and Human Services Committee by TMA President G. Ray Callas, MD, and Council on Legislation Chair Ezequiel “Zeke” Silva III, MD; May 14, 2024)

Read all of the 2024 TMA Legislative Insurance Testimonies here.

Contracts

Monitoring the contracted rate in your payer contracts is an important step in managing your revenue cycle. Are you receiving the full payment due to your practice for every claim you file?

Deal or No Deal: Negotiating Contracts (Texas Medicine, June 2021)

• You CAN Negotiate a Health Plan Contract (E-Tips, March 15, 2017)
• Your Price Versus Your Contract Rate (E-Tips, April 29, 2016) 
• Your Payer Contracts: Money Makers or Money Drains? (E-Tips, Sept. 24, 2015)
• Monitor Payer Contracts to Help Manage Revenue  
  
• Physicians Can Get Paid During Credentialing Process  
  
• How to Appeal Being Dropped From a Network (PDF 3-31-12)