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Aligning Payers and Partners for Value-based Care
As value-based care models grow, hospitals, providers and payers need to align goals and incentives to improve patient outcomes and reduce costs.
Managed Medicaid: Ensuring Quality Health Care Delivery
Data-driven strategies to combat Medicaid managed care organization (MCO) denials and ensure quality health care delivery for Medicaid enrollees.
AHA Associate Podcast Series, Ep. 58 | CorroHealth
Kathleen Wessel, VP of Business Management and Operations at the AHA is joined by Dr. Jerilyn Morrissey, Chief Medical Officer at CorroHealth, here to provide expert advice for AHA members on payer denials. They discuss the root causes of payer denials as well as innovative strategies and real-world examples to navigate denials. Join us as we explore effective approaches to transform the challenge of payer denial into opportunities for organization-wide improvements.
Automating and Streamlining the Claims Management Processes
Hospitals are using EHR integration, analytics, AI and robotic process automation to improve revenue cycle management and financial stability.
Fact Sheet: Reference-based Pricing
Some employers are moving away from offering traditional coverage with a provider network and instead are using reference-based pricing for some or all of services they cover. Under reference-based pricing, the employer (supported by a third party administrator [TPA] or other vendor) pays a set a price for each health care service instead of negotiating prices with providers.