How Long Do Physician Contract Negotiations Take?

How Long Do Physician Contract Negotiations Take?

When entering the job market as a physician, you may wonder how long it takes to negotiate a contract with a potential employer. So, how long do physician contract negotiations take? The time required to arrange a physician contract can vary based on several factors, including the contract’s complexity, the parties’ availability, and the level of disagreement. 

In this blog, we will examine the variables affecting the time it takes to negotiate a physician contract and provide suggestions for accelerating the procedure. Whether you are a seasoned physician or a recent medical school graduate, knowing how to negotiate can help you obtain the best possible terms for your practice.

Employee v. Independent Contractor

Several significant distinctions exist between a physician’s employment contract and an independent contractor agreement. The physician compensation models differ depending on the agreement type.

An employment contract with a physician establishes an employer-employee relationship, whereas an independent contractor agreement sets a business-to-business (B2B) connection. An employee earns a salary or an hourly wage, whereas an independent contractor earns per project.

Employees are typically eligible for health insurance, paid time off, and retirement plans, whereas independent contractors usually do not qualify. An employer has greater control over an employee’s work schedule and responsibilities, whereas an independent contractor controls their work schedule and how they complete their tasks. Taxes are withheld from employees’ pay, whereas independent contractors are responsible for paying their taxes. 

Before making a decision, it is essential to carefully review the terms of a physician employment contract or independent contractor agreement and to comprehend the implications of each type of arrangement. In addition, it is advisable to consult an attorney or other professional to ensure that the agreement satisfies all applicable legal requirements, as guided by sites like the American Medical Association or The American Health Lawyers Association.

Negotiating Physician Employment Contract Timeline

The amount of time necessary to negotiate the terms of a physician contract can differ from case to case and depend on various factors. The length of time it takes to negotiate the terms of an agreement can be affected by several factors, including the following:

1. The complexity of the contract may cause the negotiation process to take more time, mainly if the contract is for a long term or includes a large number of provisions.
2. The availability of the parties may move along more quickly if the parties can meet and negotiate more consistently.
3. If there are a large number of parties involved, it is possible that reaching an agreement will take significantly more time in the process of negotiation.
4. If there are significant points of disagreement, reaching an agreement will take more time.

In general, the negotiating process for a physician’s employment contract can take anywhere from a few weeks to several months. Because a comprehensive and skillfully negotiated contract is essential to the success of the physician’s practice, it is necessary to exercise patience and allow sufficient time for the process to unfold. Patience and adequate time are both critical.

What is not in the Contract?

A physician contract may not include certain terms or clauses depending on the specific agreement between the physician and the employer or practice.

Some everyday items that one may not fit in a physician contract include:

• Non-compete clauses: These provisions forbid a doctor from working in a particular region for an amount of time after leaving the employer. The employer may not include non-compete clauses because state regulations restrict their usage.
• Malpractice insurance: Malpractice insurance might cover some doctors, and the contract might not have any language addressing malpractice insurance.
• Retirement benefits: Certain contracts could not have clauses addressing retirement benefits like pension plans or 401(k) contributions.
• Relocation expenses: Some contracts might not pay for moving expenses or short-term lodging when a doctor relocates to a new location.
• Severability clause: This specifies that the remaining provisions shall survive the invalid part of the contract.

These are just examples, but the specifics of what’s in or not in a contract would depend on the particular agreement.

How long are most physician contracts?

Depending on the agreement between the physician and the employer, the duration of a physician contract may differ. 

Some contracts may be open-ended with no fixed expiration date, while others may be for a set duration, such as one or two years. Some contracts may also contain a trial or probationary period, during which the doctor can assess the office and decide whether they wish to stay on staff there.

It’s vital to note that most contracts contain a language for “renewal” or “extension,” which implies that the agreement will automatically renew or extend after a specific period, usually one year unless either party notifies the other of their intention not to do so.

Depending on the agreement, physician contracts can last between a few months and several years. Before agreeing to the contract’s terms, both parties must be aware of any provisions for renewal or cancellation.

Insurance Negotiation Process

The insurance negotiation process is the process of negotiating the terms of an insurance contract between an insurer and an insured party.

The process typically involves several steps:

1. Preparation: Before starting the negotiation process, the insured party should compile all pertinent information, such as prior claims data and the precise coverage they seek.
2. Initial proposal: The initial proposal from the insurer will outline the insurance agreement’s conditions and the premium you will charge.
3. Counterproposal: Following a review of the proposal, the insured party will submit a proposition, which may include demands for alterations to the agreement’s terms or a decrease in the premium.
4. Negotiations: During talks, the parties discuss the contract’s provisions and counterproposals.
5. Agreement: The insurer will provide a binding price when both parties have agreed on the terms of the contract, and the insured party can accept or reject the offer.
6. Review and renewal: After the agreement is signed, the parties will periodically evaluate the terms of the agreement, any claims, and the insurer’s performance before deciding whether to renew or renegotiate the agreement.

It’s important to note that the negotiation process can be pretty complex and time-consuming and may require the help of an insurance broker or agent.

Negotiating Physician Salary

Negotiating a physician’s salary can be a complex process, but several steps can help you achieve a fair and mutually beneficial agreement:

1. Research: Get as much information as possible about the expected salary for doctors in your specialization and location before beginning the bargaining process. This information can assist you in understanding what is considered fair and reasonable remuneration during negotiations and provide you with a benchmark. You can research this by contacting relevant professional associations, consulting the Bureau of Labor Statistics, or asking coworkers or recruiters for advice.
2. Prepare your case: Make a list of your qualifications, experience, and accomplishments before meeting with your employer. Be prepared to explain how the employer will profit from your knowledge and experience and how you will improve patient satisfaction, revenue, or the standard of care. Decide on your pay expectations, and be ready to support them with evidence from your research and qualifications.
3. Start the negotiation: Call or arrange a meeting with your employer to discuss your pay. Be confident while remaining respectful and professional. Begin by thanking the employer for the opportunity to work with them, and then make your case for the pay you desire. Maintaining an open mind and being prepared to hear the employer out is critical.
4. Be open to compromise: Be prepared to bargain and make concessions on some issues, but also be ready to leave if the employer is unwilling to live up to your expectations. Pay negotiation is a two-way process; both parties must be willing to make concessions for an agreement.
5. Consider non-salary benefits: Be willing to discuss additional payment options, such as signing bonuses, moving costs, malpractice insurance, retirement perks, or more vacation time. These perks could help you meet your overall compensation goals and be just as helpful as a more considerable income.
6. Get it in writing: When you reach an agreement, make sure to put the details in writing and get both sides to sign. By doing this, parties will avoid uncertainty and misunderstandings in the future.

It’s also worth noting that you might want to have a legal advisor review the contract to ensure that the terms are fair and legally compliant.

How Do You Win A Contract Negotiation?

Winning a contract negotiation requires preparation, communication, and flexibility. Here are a few tips on how to be successful in contract negotiations:

1. Research and prepare: Obtain as much information as possible on the other party, industry norms, and the particulars of the contract before the negotiation. Determine your requirements and objectives, and be prepared to articulate them convincingly.
2. Understand the other party’s perspective: Be prepared to answer the needs and objectives of the other party by trying to understand them. Ask them questions to grasp their viewpoint better. Any common ground should be noted and used as a springboard. This way could promote trust and start a more fruitful conversation.
3. Communicate clearly and effectively: When stating your case, be brief and precise, and be ready to pay close attention to what the opposing side has to say. Refrain from speaking in technical or jargon that the other person might need help comprehending. Make your case by using clear language and supporting it with facts.
4. Be flexible and willing to compromise: Be prepared to make concessions and have an open mind to potential solutions because negotiations frequently involve giving and taking. Be ready to discuss possibilities you may have yet to cover. Always remember that you want to get to a mutually beneficial agreement.
5. Be honest and ethical: Avoid communicating in a way that someone could interpret as manipulating or dishonest by being truthful and open. These attitudes will boost the chance of success and contribute to the development of trust.
6. Have a clear understanding of what you are willing to walk away from: You may have more negotiating power if you know your bottom line and what you are prepared to give up. You will become more assertive while making requests and compromises as a result.
7. Get it in writing: Once you’ve agreed, get it with all sides’ signatures. This practice will prevent any misconceptions or confusion in the future.

Following these tips can increase your chances of successfully negotiating a contract that meets your needs and goals. However, remember that every negotiation is unique, and the outcome will depend on the specific circumstances, the other party, and your industry.

We are committed experts in the field of Physician Contract Review, proudly serving the medical community through our platform at Physician Contract Review. With a profound understanding of the healthcare industry’s complexities, we provide comprehensive contract review services tailored to meet the unique needs of physicians. Our team of experienced legal professionals is dedicated to ensuring that every aspect of your contract is clear, fair, and beneficial to your career. To learn more about our services or to book a review, please contact us today.