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You are the CFO for a community hospital that is preparing for contract negotiation with its largest nongovernmental payer, which accounts for nearly 30% and growing of all patient-care revenue at the hospital.
When they refuse to increase inpatient payment rates in a manner more consistent with Medicare, you must determine how to negotiate a better outcome and what the risk would be to lose them as a payer altogether.
present the points made during the negotiations, (cost,fee schedule, price-related, price setting, DRG, bundled services) both for the increased payment rates and the potential loss of the payer.
Prepare and use visual aids to demonstrate the points above.