Negotiating for more: the multiple equivalent simultaneous offer

J Am Coll Radiol. 2014 Feb;11(2):153-5. doi: 10.1016/j.jacr.2013.06.004. Epub 2013 Sep 13.


Whether a doctor, professional baseball manager, or a politician, having successful negotiation skills is a critical part of being a leader. Building upon prior journal articles on negotiation strategy, the author presents the concept of the multiple equivalent simultaneous offer (MESO). The concept of a MESO is straightforward: as opposed to making a single offer, make multiple offers with several variables. Each offer alters the different variables, such that the end result of each offer is equivalent from the perspective of the party making the offer. Research has found several advantages to the use of MESOs. For example, using MESOs, an offer was more likely to be accepted, and the counterparty was more likely to be satisfied with the negotiated deal. Additional benefits have been documented as well, underscoring why a prepared radiology business leader should understand the theory and practice of MESO.

Keywords: Negotiation; management; strategy; value.

MeSH terms

  • Decision Making
  • Decision Support Techniques*
  • Game Theory*
  • Job Application*
  • Negotiating / methods*
  • Personnel Staffing and Scheduling / organization & administration*
  • Radiology / organization & administration*
  • Salaries and Fringe Benefits / economics*
  • United States