---
title: "We Win Insurance Fight #750"
description: "We Win Insurance Fight #750"
---

# We Win Insurance Fight #750

September 1, 2009

[insurance](https://chipsblog.pcc.com/tag/insurance)

Yet another unscripted example of a client successfully fighting the managed care companies for a better fee schedule.  Verbatim:

> I just followed your steps--letter to our patients with a  
>  drop-dead date about 5-6 months ahead, encouraged them to call their  
>  benefits people (this plan covers a lot of small unions; it's really  
>  just a claims priocessor, so getting the union members to protest was  
>  the key), and waited for the call from [MCO] asking what would they  
>  have to do to keep us. I made a proposal, asking for about 130%  
>  Medicare. They initially came back that they couldn't go that high, but  
>  then proposed 100% of the N. NJ Medicare rates, which, as I said, are  
>  at least 120% of ours. They could have countered with 100% of OUR  
>  Medicare schedule, but, for some reason, they used the NJ one--to our  
>  major advantage.
> 
>  
> 
> ...we are having our front desk person call [the patients] to inform them that we are staying in the plan--and getting them  
>  to schedule their next well visit at the same time.

I love it, especially that last line.  Sure enough, the doc here ran a quick report and confirmed that it's a **75 percent fee increase** and is getting the kids in ASAP.

Big, conglomorate practice?  No.

Professional negotiator? No.

Willingness to say, "No!" to an MCO? Yes.  That's what it takes.

Good work.

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