You've got an endless stream of contracts from health plans and insurance companies. Do you know where the old ones are? Do you know if the "update" you are being asked to sign is actually decreasing your rate of reimbursement? Surely you don't have any leverage. Or do you?

Perhaps it's time for a legal check-up.

Take control of your practice.  

Ask for updated contract to have your lawyer or the ADA lawyer read and let you know what is hidden.  Don't sign until you go over the fees by your zip code fees.

More input is needed before you give the house away. Don't go into a contract without the best advise possible.  Start your New Year with knowledge-based information.