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. Drop your NPI to see which HCPCS codes your payers underpay — per unit, against your local-peer median. No PHI, no card.
The decision · Cigna HealthSpring (Advantage)Medicare Advantage
Paying you 78% of the local-peer median · 11% of your book · $196,000/yr revenue.
Medicare Advantage plans sit furthest below the local-peer median — exiting one shifts that volume back toward traditional Medicare rates.
first-pass denials ~12.1%appeal window 60d · fast clockDemo benchmarks
Renegotiation recovery · modeled scenario
Keep as-is
−$54,300
bled per year accepting below-peer rates
Renegotiate to peer
+$40,725
modeled scenario · 75% of documented gap recovered, volume intact
Drop them
−$196,000
revenue forgone — the credible threat
Re-earning the walk takes ~43 months ($196,000/yr forgone vs $54,300/yr bleed). Renegotiation recovers a modeled $40,725 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.