> But Medi care was right with the commercial insurers on reimbursement.
As I said in another comment, I'm with a provider and Medicare is easily one of our best payors. We actually have contracts with private insurers that say they have to reimburse us at least 80-85% of what Medicare would. They also give us the money up front, with a public formula that we can count on vs. a hidden formula that requires us to go back for more auth (and thus needs more people to manage).
That back and forth is a huge time suck. Knowing that Medicare will reliably pay $X for code Y makes life vastly easier. Contrast with, say, UHC: “preapproval? That mean we agree to pay $Z, but only if we want to!”
Contracts are negotiations
Yes, that's what a contract is. I don't remember asking for a definition.
But you blame the contract as to why commercial pays less, when it’s because that’s what someone accepted. They’re obviously going for a low number and it’s your sides job to negotiate for yourself. I just made another comment about lazy managed care, then you prove my point here.
While you didn’t ask for a definition, you should try and connect the dots.