I like your spunk, but you have to realize you have zero leverage when trying to renegotiate your contract. You are dealing with admin types and their name of the game is cost-cuttting. Those who are physician-friendly and generously dole out the dollars are quickly shown the door by the board of directors.
I know of Part A’s as high as 20K/mo. for a solo pathologist in an 85 bed hospital to three-man groups in a 200 bed hospital who get nothing. The latter has a CEO who tells them to swallow a nice, tall glass of STFU or the hospital won’t renew their contract, so they begrudgingly concede to keep their jobs. Is it fair: No. Is that the way medical economics operate particularly in our field: You better believe it.
The key thing you mentioned in your past conversations about Part A negotiations was that they took place with independent groups. They have a little bit more leverage when it comes to this matter vs employed-types. Because of this, in your negotiations, the hospital will likely pull the stunt that whatever they get reimbursed for Part A and calculate per pathologist is already built into your contract. Also, you’re in a 12-man group, so the hospital will likely fear the slippery slope that you might be twittering with your colleagues and if one gets a bump in their contract for a revised “Part A per FTE” section in their contract, then everybody will be clamoring for it.
That being said to answer you original question, if you should be fighting, I would. However, your odds of success may have more to do with if you play golf with the CEO, are a member of the same country club as the board of directors, or kids go to the same private school rather than your reputation amongst clinicians or Pathology brilliance. So don’t get your hopes up whether you’re a rock star or not. But hey, keep rockin…