I think that negotiating is not a bad thing at all.
What are the terms the contract? Are you paid a salary, no matter what you produce?
Are you paid a percentage of your charges?
Or you paid a percentage of your collections?
There is a big difference. I have a friend who worked for a practice that paid him based on collections, but they assigned him all of the Medicaid patients, which typically pays 10 to 15% of the charges.
In my own practice, I accept certain forms of Medicaid, but in one big surgical case, I was paid 9% of my fee. It cost me 75% of my fee just to be there, pay the light bill, pay the staff salaries, etc. That is, pay my overhead. That is, pay my expenses, before I ever get paid.
So, if it cost me $0.75 to charge every dollar, and Medicaid is paying me 10% of my charges, I have to make up the other 65%. I am paying these patients to come see me.
The devil is in the details.
At the same time, it is correct to say that you can do anything for a year.