The Insurer Revolution

One of the many reasons consulting firms, like this, exist today is the conundrum of negotiating with third party payors. Time and time again, we see companies struggling with reimbursement rates that are considered, “community standards,” but in fact, are not. The obstacles and hurdles that physicians need to go through to make ends meet is tantamount to complex patient care. All the facets needed to appropriately bring these payors to the table are sometimes beyond scope and reach. And, let’s face it, who has the time to do the research? When not seeing 100 patients daily in clinic, you’re at home trying to catch up on charts, praying your billing company is capturing most of the charges you’ve sent them. In the interim, your health is suffering from lack of time, your family life is deteriorating, and you’re facing burn out. All of this because you weren’t paid appropriately for the level of care you’ve provided.

No one wants to believe it, but physician compensation has not increased significantly over the past twenty years. In fact, if it were to track with cost of living and inflation, the average physician salary should have doubled since 1980. Think about it… you’re making nearly what your predecessors made 44 years ago. How is this possible when insurance premiums have skyrocketed? Where is the money going?

Without a multi-tiered approach to negotiating, you may as well be Oliver Twist asking, “please sir, can I have some more.” At best, you will be ignored. At worst, your rates may actually go down. Don’t get stuck in the conundrum of trying to navigate the complexities of negotiation alone. You don’t need to do that anymore. In fact, here at PCC, we are so committed to helping you, that our offer is simple. We will not charge you if we do not get your rates up. The real question is, what do you have to lose?