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Related Experiment Video

Updated: Jun 15, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Negotiating with payers.

Joel M Kaufman1

  • 1Lifespan/Physicians Professional Service Organization, 167 Point Street, Suite 3A, Providence, RI 02903, USA. jkaufman@lifespan.org

Neurologic Clinics
|March 6, 2010
PubMed
Summary

Successful negotiation with healthcare payers is vital for practice success. Key strategies extend beyond reimbursement to contract terms and operational support, enhancing long-term practice viability.

Area of Science:

  • Healthcare Administration
  • Medical Practice Management
  • Health Economics

Background:

  • Effective negotiation with third-party payers is crucial for healthcare practice financial health and operational efficiency.
  • Beyond reimbursement rates, various contractual and policy elements significantly impact practice success.

Purpose of the Study:

  • To outline critical strategies for successful negotiation with healthcare payers.
  • To highlight key areas for negotiation beyond direct reimbursement.

Main Methods:

  • Review of best practices in healthcare negotiation.
  • Analysis of common payer contract components and policy structures.

Main Results:

  • Successful negotiation enhances practice success over time.

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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  • Key negotiation areas include reimbursement, contract language, practice support, and policy changes.

    • Conclusions:

    • Strategic negotiation is a critical function for enhancing medical practice success.
    • Focusing on contract language and operational support alongside reimbursement yields greater practice benefits.