The payer set your rates. Did anyone push back?

When you joined a payer's network, someone on their side handed you a fee schedule built to protect their margin, not yours. On your side, there usually was not time to study it, no benchmark to compare it against, and no real bargaining position to ask for more. So you signed. Most practices do. Then the contract renews on autopilot, year after year, while your rent, your staffing, and your supply costs climb and your reimbursement does not move.

The gap between what a payer pays you and what it pays the practice across town for the identical code is often wider than physicians expect. Sometimes it is a few percent. Sometimes it is the difference between a payer that is worth keeping and one that is costing you money to stay in network. You cannot negotiate what you cannot see, and the payers are counting on that.

Glenwood has worked payer relationships for independent practices for 30+ years. We know what the rates in your specialty and region actually look like, and we know which arguments move a payer and which ones get ignored. We do not sit at the negotiating table for you. We hand you the numbers and the strategy so you walk in knowing exactly where you stand and what to ask for, and the credentialing and enrollment paperwork, the part nobody wants to own, we handle end to end. The review below is free, and you keep whatever we find whether or not you ever work with us.

What a Contract Review Covers

A clear look at where your contracts stand and what is worth doing about it.
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We line your current rates up against what the practices we bill for in your specialty and region are actually paid for the same codes. Thirty years of running revenue cycle means those are real, current numbers, not list prices. For most practices the gap is wider than they expected, and seeing it in black and white is the first time the conversation with a payer stops being a guess. We focus on the codes you bill most, because that is where a few points either way decides your year.
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Not every contract is worth keeping. Some payers pay slowly, deny aggressively, and demand more administrative work than their volume is worth. We look at what each payer actually nets you once the cost of collecting from them is counted, and we tell you plainly which ones to renegotiate, which to restructure, and which a healthy practice could walk away from without missing the revenue.
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A new provider sitting idle because enrollment is stuck is one of the most expensive delays in a practice, and it is almost always avoidable. We handle CAQH upkeep, payer enrollment, and the re-credentialing cycle that comes due every two years, so nothing lapses and nobody loses participation by surprise. New providers typically reach full participation in about 60 to 90 days, depending on each payer's queue, and your team stops chasing forms.
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When a payer offers a flat renewal at last year's rate, the easy thing is to sign and move on. We give you the read on whether to sign, push back, or shop, using your own utilization data and our regional benchmarks, so the position you take into that conversation is grounded in numbers rather than nerve. A renewal is the one real opening you get, and most practices let it pass without using it.
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What You Walk Away With

Concrete findings you can use, even if you take them to the table yourself.

• Where your rates sit against the benchmark for your specialty and region, on the codes that actually move your revenue.
• Which payers are earning their place in your network and which ones are quietly costing you to keep.
• A clear read on any credentialing or enrollment gaps that are delaying participation or holding up new providers.
• A plain recommendation on each contract: sign, renegotiate, restructure, or walk, with the reasoning behind it.
• No obligation. If your contracts are already strong, we will tell you that and you will have lost nothing but 15 minutes.