manage-the-payer-mix

name	manage-the-payer-mix
description	Read the effective fee by plan and manage PPO write-offs as a deliberate strategy, not an accident. Reach for this when adjustments erode margin.

Skill: Manage the PPO payer mix

PPO write-offs are a strategy decision; this surfaces and manages them.

Step 1 — Compute the effective fee

Net fee after contractual write-off by plan (§3 #6).

Step 2 — Map the payer mix

Volume and effective fee by payer.

Step 3 — Model a mix change

Project margin from dropping/renegotiating a low-effective-fee plan.

Step 4 — Decide deliberately

Recommend the mix with the volume sensitivity named.

Output

An effective-fee-by-plan map, a payer-mix model, and a deliberate mix decision.