Walk-Away

Demo sample

Price 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 sample location shows a documented opportunity of ~$403K/yr against its local-peer median. Drop your top provider's NPI to see your full gap breakdown by specialty. No PHI, no card.

The decision · Anthem Blue Cross

Paying you 80% of the local-peer median · 21% of your book · $980,000/yr revenue.

first-pass denials ~8%appeal window 60d · fast clockDemo benchmarks

Orthopedics78% of local-peer median· biggest single payer×specialty lever — book-wide ortho lag

Cardiology84% of local-peer median· echo + diagnostics under the contracted band

Behavioral Health64% of local-peer median· BH carved out to a lower vendor fee schedule

Renegotiation recovery · modeled scenario

Keep as-is

−$214,000

bled per year accepting below-peer rates

Renegotiate to peer

+$160,500

modeled scenario · 75% of documented gap recovered, volume intact

Drop them

−$980,000

revenue forgone — the credible threat

Re-earning the walk takes ~55 months ($980,000/yr forgone vs $214,000/yr bleed). Renegotiation recovers a modeled $160,500 at 75% first. Fire only if they refuse.

Draft the leverage memo

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.