Simply put, you need to start a program of trying to renegotiate all of your managed care contracts (I suggest doing them all at once). My viewpoint has always been the same on this issue:
1. You never know about success in managed care negotiation until you try;
2. The negotiation process allows you to see payer attitudes towards your practice;
3. The negotiation process will provide you with details about what you need to do to position your practice for contracting success in the future.