---
title: You Can Negotiate
description: You Can Negotiate
---

[Confessions of a Pediatric Management Consultant... Where fame and fortune await those who help keep pediatric practices alive and independent! ](https://chipsblog.pcc.com)

# [You Can Negotiate](https://chipsblog.pcc.com/you-can-negotiate)

 Written by [Chip Hart](https://chipsblog.pcc.com/author/chip-hart) | Nov 5, 2007 12:50:00 PM

It's email like this that keeps me going.

To set the scene: typical practice in the northeast. More than 4 pediatricians, fewer than 8. In an area whose payers average 80-85% of Medicare (that's no typo). Surrounded by practices whose heads have been in the sand forever and feel like their only recourse is to massively merge, if I may split an infinitive.

The results of a 1-on-1 negotiation below. No special tricks, no high powered attorneys, no animals were harmed. *If this practice can do it, you can too. *Here's a copy of the official MCO email:

> Dear Dr. [X]:
> 
> First, I need to apologize for the delay in responding to your e-mails. I appreciate your patience throughout this process.
> 
> I am attaching our counter proposal for your approval.
> 
> Here is an overview of the terms.  
>  * Group Contract effective 12/1/07  
>  * 110 % 2007 Medicare with immunizations & preventive codes carved out

Believe me, for this practice to get 110% of Medicare is a *huge* leap forward.

How hard was that?

[View full post](https://chipsblog.pcc.com/you-can-negotiate)

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