David O’Hara joined Nathan Shields on Private Practice Owners Club to discuss how practice owners can build a payer-negotiation case around local access and near-term costs, with AI supporting the research.
A waitlist does not guarantee negotiating leverage or a rate increase. It may help a physical therapy practice document an access need in its market; a payer-specific case should connect that evidence to network adequacy or a plausible near-term cost alternative.
A PT practice can prepare a stronger rate request by connecting a focused ask to evidence the specific payer may value, such as specialized access, network adequacy, or near-term cost. The case and likely outcome vary by payer and market.