For UK private clinics
Your insurer and commissioner contracts may be quietly eroding your revenue
Fee schedules drift, volume commitments fall out of alignment, and the original commercial terms go unreviewed for years. Poor contract management can quietly erode a meaningful share of annual revenue.
Two minutes. Solva follows up with specific contract review options.
- Declining profit margins despite stable or increasing patient volumes
- Frequent discrepancies between expected and actual reimbursements from insurers
- Long payment cycles and increased administrative effort to chase outstanding payments
- Outdated service codes or treatment bundles in contracts that no longer reflect current practice
- Increased administrative workload for billing and finance teams
- Strained relationships with key payers due to frequent disputes over payments
- Reduced overall profitability and cash flow for the private healthcare provider
- Missed revenue opportunities from unoptimised fee schedules and terms
- Perception of financial instability or inefficiency among staff and potential partners
- Difficulty attracting and retaining talent if compensation is perceived as uncompetitive due to financial constraints
Regular contract reviews and renegotiations are widely recognised to improve commercial terms and prevent revenue leakage in healthcare contracts (Gatekeeper, 2024)
Source: https://www.gatekeeperhq.com/blog/12-healthcare-contract-management-best-practices
Frequently asked questions
Why does this problem persist?
Contract terms with insurers and commissioners drift over time. Fee schedules become outdated, volume commitments become misaligned, and the original commercial rationale for the contract may no longer hold. Most providers accept the status quo because renegotiation feels difficult.
What is the cost of leaving it unaddressed?
An average of 9.2% of annual revenue is lost due to poor contract management across industries, a figure likely reflected in UK private healthcare (Malbek CLM, 2024)
This is exactly what I do with UK private practices. Answer the few questions above and I'll come back personally with where to start. Paul.