Resources

Payor contracting guides

Plain answers to the questions practices ask before they negotiate: when to renegotiate, which contract terms decide what a rate is worth, and what to do when a payor says its network is closed. Free to read, no form.

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Written by the PayrHealth team, from 30+ years of payor negotiations.

Guide 01: Renegotiation timing

When to renegotiate your payor contracts, and how often

Review every payor contract once a year and renegotiate your top payors every two to three years. When to start, how notice windows work, and how to ask.

Guide 02: Contract terms

Payor contract terms that decide what a rate is worth

The six parts of a payor contract that decide what a rate is worth: fee schedule, lesser-of, products, amendments, recoupment, silent PPO. With the fixes.

Guide 03: Closed networks

What to do when a payor says its network is closed

Closed usually means closed on standard terms. How payors decide, what opens a network, how to escalate, and the letter of interest that gets a reply.