Payors Are Pushing for Direct EMR Access. Providers Must Push Back. 

Payors adopting EPP are mainly prioritizing connectivity that meets their needs – gaining access to necessary clinical documentation and quality outcomes to adjust risk scores of beneficiaries (and associated government reimbursement) as well as enhance their rankings against other health plans.

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­­­­The Real Cost of Medicare Advantage Plan Success

Medicare reimbursement rates have never covered the total cost of care, so when MA reimbursement falls below that already-low baseline, hospitals are left to absorb the difference. With rising costs, record inflation and dwindling labor, many hospitals simply can’t afford to cover the difference anymore.

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