As part of our on going series on InterviewsNOW, host Shereese Maynard spoke to Andria Jacobs, COO, PCG Software, a provider-payer software solution company. The episode is now on-demand. Check it out and take a listen.
Latest news being reported on payers and the health insurance industry including news from Anthem Inc., Aetna, Humana, CDPHP, Blue Cross Blue Shield Association, UnitedHealthcare, Aflac, Cigna, UnitedHealth Group and more.
By Beth Friedman – AHIMA held its 90th annual convention and exhibit last week in Miami, Florida. Amid humidity, convention center construction and political banter, attendees found common ground on two important revenue cycle issues: operational performance and payer denials.
By Stephanie St. Thomas – Poor patient (or member) matching plagues every single component of healthcare, often in different ways and with varying degrees of visibility into the problem.
Patients are now payers, responsible for a substantial amount of your revenue. Have you addressed this shift—or are you still working to develop the optimal patient payment strategy?
By Tyler Williams – Spring brings pollen, allergies and unpredictable weather patterns. Just as Spring ushers in seasonal change, payor reimbursement policies for emergency medicine follow a certain cycle.
By Randy Main – CRMs are essential to modern healthcare payer operations, but poor planning and implementation strategies could make customer experience challenges worse.
By Paul Fox – Many non-Medicare provider contracts have unwritten ramifications of which you should be aware. In today’s world of High Deductible Health Plans (HDHP) what you are really negotiating is your future self-pay liability until your patient’s deductible has been satisfied.
By Julie Appleby – UnitedHealthcare said it will expand its high-profile test of whether bundled payments for chemotherapy can help slow rising cancer treatment costs, part of a growing effort by insurers to find new ways to pay for care.
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