
What Drives Friction Between Providers and Payers?
Delayed or denied payment due to avoidable friction between payers + providers is unsustainable and must be addressed. Here are 3 key causes. … Read More

Delayed or denied payment due to avoidable friction between payers + providers is unsustainable and must be addressed. Here are 3 key causes. … Read More

Providers are being ignored by contracted and non-contracted MA plans in their efforts to obtain a remedy for 340B drug underpayments. … Read More

Receiving accurate, timely reimbursement and reducing unnecessary administrative cost imposed by payers requires a proactive strategy. … Read More

Pre-payment review means you must submit medical records with each affected claim before the payer will agree to pay or adjudicate claims. … Read More

Reference-Based Pricing plans pay based on a benchmark set by an administrator, rather than based on services rendered or value derived. … Read More

Since EMR access is so valuable, we encourage providers to take a thoughtful approach before giving it away without an equitable exchange. … Read More

Medicare Advantage plans have never cost taxpayers less than traditional Medicare, despite that being the entire goal of the program. … Read More
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