How much administrative friction does this payer create?
This is one of the most overlooked questions in payer contracting.
Leadership may compare two contracts based on reimbursement:
Payer A: $125
Payer B: $110
At first glance, Payer A looks like the obvious choice.
But what if Payer A also requires:
• More frequent authorizations
• Additional clinical documentation
• More claim corrections
• Higher denial volume
• More staff follow-up
• Longer payment cycles
• More complex eligibility issues
Suddenly, the $15 difference doesn’t look quite as attractive.
Administrative friction has a cost.
It consumes staff capacity.
It delays cash.
It increases rework.
And it can pull clinical and administrative leadership into processes that don’t directly generate revenue.
This is why I encourage organizations to ask:
“How difficult is it to get paid by this payer?”
Not just:
“How much does this payer pay?”
The difference can have a meaningful impact on your actual margin.
A contract that pays more but requires significantly more work may not be the better contract.
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