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  • Can I Negotiate Better Rates with Insurance Companies, and What Leverage Do I Have?

Can I Negotiate Better Rates with Insurance Companies, and What Leverage Do I Have?

September 6, 2025 / admin /

Yes, rate negotiation is often possible, especially if you can demonstrate value to the payer. Your leverage may include unique specialties or services in your area, strong quality outcomes and patient satisfaction scores, efficient care delivery and lower per-episode costs, significant patient volume or market presence, and willingness to participate in value-based care programs. Smaller practices can sometimes gain leverage by joining provider networks or working with consultants who specialize in payer negotiations.

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Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • Artificial Intelligence Robot Thinking

    How AI Saves Your Medical Practice (Money)

  • Payer Contracting Negotiation

    Payer Contract Optimization Strategies

  • Claims Management 101

    Claims Management 101: Your Guide to Efficient Billing

  • Healthcare Rate Negotiations (Megaphone)

    The Value of Rate Negotiations

  • Multi-State Licensing Models Map

    Which States Participate in Multi-State Licensing Models?

  • White Female Surgeon at the Operating Table

    Which CPT Codes are Used in General Surgery Billing?

  • Strategic Payer Negotiations: A Data-Driven Approach

  • Payer Contract Management in Healthcare

    Building Profitable Relationships Through Payer Contracting

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