Size does matter. Larger groups often have greater leverage in negotiating higher rates, but even a solo practice must negotiate with payers.
It is important to identify a negotiation strategy that is unique to your practice and market.
Primary Care – most markets have a shortage and members are very loyal to PCP’s.
Specialists – do you perform unique procedures and/or services, are you highly trained, is there a shortage in your market, etc.?
Only after you have a clear picture of how the contract will affect your practice as a business can you negotiate/renegotiate effectively, to get the terms and fees you need to remain profitable.