BCBS contract negotiations: what every independent practice should know
Navigating the landscape of payer contract strategy is the most critical lever an independent practice can pull to ensure long-term financial viability. In the current healthcare climate, Blue Cross Blue Shield (BCBS) often functions as the 800-pound gorilla in the room, dictating terms that many providers feel forced to accept. However, BCBS dominance is not […]
What is a payer contract escalator clause : and why you need one
Silence is the most expensive line item in your P&L. Every time you sign a payer contract without an escalator clause, you’re agreeing—on paper—to get poorer every year while your costs climb. Payers know this. They bank on your enrollment fatigue and your reluctance to reopen contracts. That’s why an escalator clause isn’t a “nice […]
