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The insurance agreement filling schedules and emptying margins

La convenzione assicurativa che riempie le agende e svuota i margini · Healthcare · Advanced

The case

Your diagnostic center has worked for years with a large supplementary health fund: it brings 45% of volumes, but the agreed tariffs, never adjusted in four years, are now below full cost for a third of the services: the agreed-rate MRI you deliver at a flat loss. The fund, from a position of strength, has just proposed a three-year renewal with a further 5% cut and no guaranteed volumes. Full-paying private patients pay full rates but are the segment that schedules saturated with agreement patients often turn away. Cancelling means an immediate volume hole; signing means consolidating the loss. How do you approach the renewal?

Il tuo centro diagnostico lavora da anni con un grande fondo sanitario integrativo: porta il 45% dei volumi, ma le tariffe convenzionate, mai adeguate da quattro anni, sono ormai sotto i costi pieni per un terzo delle prestazioni: la risonanza convenzionata la eroghi in perdita secca. Il fondo, in posizione di forza, ha appena proposto il rinnovo triennale con un ulteriore taglio del 5% e volumi non garantiti. I privati puri pagano tariffe piene ma sono il segmento che le agende sature di convenzionati spesso respingono. Disdire significa un buco di volumi immediato; firmare significa consolidare la perdita. Come imposti il rinnovo?

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