As the CFO for a community hospital, you prepare for contract negotiations with its largest insurance payer that refuses to increase inpatient payment rates more consistent with Medicare and refuses to increase the inpatient pay rate more than 5%. Which important areas do you need to explore in order to determine what position the hospital system should take with the insurance payer? (Select all that apply)

The risk of losing your largest insurance payer altogether.

The possibility that the insurance payer might be willing to reduce the inpatient pay rate.

Whether pricing is reasonable or not.

An exploration of revenue and volume factors