Payer Mix Analysis: 7 Practical Steps for Medical Practices
How to measure your payer mix by volume and by revenue, benchmark every payer against Medicare, and decide what to change.

How to measure your payer mix by volume and by revenue, benchmark every payer against Medicare, and decide what to change.

The prior authorization process in seven steps, plus the 2026 payer decision deadlines and what independent practices should change in their own workflow.

Most practices can renegotiate a payer contract themselves. You need three things: your top CPT codes by volume, what each payer currently pays as a percentage of Medicare, and a written request to provider relations sent well before the auto-renewal date. Bring in outside help when the gap is wide, when the payer is your…