Claims Processing
The new opportunity will test how financial risk-sharing can reduce Medicare expenditures while preserving the quality of care for beneficiaries.
In a recently announced merger with the larger Intermountain system, CEO Kelby Krabbenhoft was to serve as president emeritus.
Risk adjustment data validation ensures payment integrity and accuracy – and it affects what plans are paid.
Benefit design would lessen impact of high-deductible plans, AMA says.
The rule seeks to reduce federal regulatory barriers, support adaptability and promote transparency and innovation.
When health systems have their staff manage revenue cycles, up to 25% of the day can be spent on repetitive tasks related to the revenue process.
FAIR Health attributes the increase in telehealth utilization to the pandemic, which forced nonemergency procedures to come to a halt in March.
When Medicare open enrollment starts tomorrow, 2021 is expected to be the largest enrollment year for UHC's Medicare Advantage plans.
Affordable Care Act medical loss ratio rebates in 2021 will likely be exceptionally large across commercial markets.
Communication between consumers and payers needs to be seamless, and all need to have access to the same health plan information, Zipari CEO says.