Own the whole contract to provide all orthopedic trauma care if possible, not just individual
contracting (negotiate as a corporate entity).
Multiple long meetings with administration. Process may take 6-12 months, for contracts lasting only 2-3 years. Longer contracts (i.e. 5 yrs) more uncommon. Consider adding provision for extensions to existing negotiated contract so entire process does not need repeating in 2 years. The physician is at a disadvantage, as they are negotiating not with other physicians but with professional negotiators (administrators), who continuously negotiate with multiple groups/departments/specialties
Provisions for unfunded patients: hospital to pay at a negotiated rate (i.e. medicare). Some contracts require a yearly cap (i.e. $100-200k)