More Americans than ever are beneficiaries of a Special Needs Plan (SNPs).
Author: Super User
The healthcare industry often seems to get trapped in the cycle of repeatedly doing the same things while expecting dramatically different results. Value-based care initiatives are no different. Many providers have made large investments in technology related to value-based care,…
It’s a familiar pattern with payers, the provider wins a front-line appeal, then a myriad of payer reviews occur and result in more denials.
Despite large-scale efforts and various incentives, value-based care adoption has been iterative, and inconsistent, and has yet to produce industrywide transformation.
Healthcare costs are increasing at unsustainable rates. The financial burden faced by patients is considerable. One study found more than 65 percent of all bankruptcies in the U.S. are due to medical debt. Yet despite rising costs, the U.S. healthcare…
Advertisement
Disproportionate Share Hospitals (DSH), Worksheet S-10, and Bad Debt should not be viewed separately.
Lotus Mallbris, MD, PhD, leads the global clinical development and medical affairs teams supporting Eli Lilly and Company’s immunology portfolio. She is a dermatologist with experience treating patients who have alopecia areata, an autoimmune disorder that attacks hair follicles and…
The rapidly changing healthcare landscape, along with unrelenting pressure to control costs, challenges payers to find better ways to manage the complex cost allocation processes.
Electronic claim payment trends all point to one dynamic: faster turnaround. Simply put, businesses and consumers now expect near-immediate access to funds when they have been given notice of transfer. Luckily, that era of real-time digital payments is not too…
The relationship between payers and healthcare providers has always been strained. Amid COVID-19 and widespread workforce upheaval, tensions have only mounted.