Walk-Away
Demo samplePrice the break-even of dropping a payer — what you'd lose in volume vs what you stop bleeding. So firing a payer stops being a tantrum and becomes a number.
Sample book. Add your NPI to price your real payer contracts.
That's a sample client. One NPI scores that client — then roll your whole book into one ranked triage view.
The decision · Health Net
Paying you 71% of the local-peer median · 6% of your book · $92,000/yr revenue.
first-pass denials ~9.1%appeal window 90d · fast clockDemo benchmarks
Renegotiation recovery · modeled scenario
Keep as-is
−$33,800
bled per year accepting below-peer rates
Renegotiate to peer
+$25,350
modeled scenario · 75% of documented gap recovered, volume intact
Drop them
−$92,000
revenue forgone — the credible threat
Re-earning the walk takes ~33 months ($92,000/yr forgone vs $33,800/yr bleed). Renegotiation recovers a modeled $25,350 at 75% first. Fire only if they refuse.
Napkin math: re-earn months = revenue forgone ÷ (annual bleed ÷ 12) · a walk reads credible under 18 months, assuming walked volume refills at peer-median rates · sample figures, modeled, never guaranteed.