According to AHIP, more claims are being received by payers in electronic formats, and payers are processing those claims at a faster rate than before.
More than $8 billion has been saved this year as a result of the American Medical Association's (AMA) Heal the Claims Process campaign
Looking at the next several years, administrative services only agreements appear to be the most profitable line of business.
Payers see a balance of power when it comes to rate negotiations.
Paul B. Ginsburg discusses how new payment models are progressing
Private payers have the most experience with managing risk, but each stakeholder must achieve a perfect balance of risk and reward.
Patient-centered medical homes (PCMHs) are gaining traction with increasing support from health plans, based on their promise to lower costs.
As the focus of managed care strategy includes implementing preventative initiatives, it is critical not to overlook vaccines.
To achieve a higher rate of clean claims, health plans have to be absolutely clear on what a "clean claim" means to all parties in the transaction.
As the struggle to halt healthcare costs continues, Maryland has uniquely managed to contain hospital reimbursement.