You are a family nurse practitioner (FNP) employed as a contract (1099
independent contractor) in a busy primary care practice for 2 years. The
providers in the group include one physician, who is also the owner of
the practice, and two other nurse practitioners, who are staff employees
(W2 employees). The owner of the practice recently made comments about
the need to produce more revenue. You relate with his concerns and feel
that you have several strategies that could be helpful. Your contract is
up for renewal in 3 months. You are highly satisfied with your job and
want to stay with the group. You see 20 patients per day on average and
take call every third weekend.
Discussion Question:
What negotiation strategies should you use to propose a contract
renewal? How does your role as a 1099 contractor benefit the practice
over the W2 employees? What evidence will you present to the practice to
reinforce your value in the practice both in terms of revenue and
patient satisfaction? Consider any additional services you may be
willing to provide under your contract. Use logical reasoning, and
provide evidence based rationales for your decisions.
Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.
Buppert, C. (2015). Nurse practitioner’s business practice & legal
guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com
• Chapter 5—Prescribing
• Chapter 6—Hospital Privileges
• Chapter 7—Negligence and Malpractice
• Chapter 8—Risk Management
• Chapter 9—Reimbursement for Nurse Practitioner Services
• Chapter 10—The Employed Nurse Practitioner
Porter-O’Grady, T., & Malloch, K. (2015). Quantum leadership:
Building better partnerships for sustainable health (4th ed.). Retrieved
from https://bookshelf.vitalsource.com
• Chapter 8—Living Leadership: Vulnerability, Risk Taking, and Stretching
• Chapter 11—Toxic Organizations and People: The Leader as Transformer
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