Payer Relations
Hospitals are using EHR integration, analytics, AI and robotic process automation to improve revenue cycle management and financial stability.
Join us as we discuss the range of tactics payers are using against providers and how we’ve partnered with hundreds of hospitals throughout the country to develop strategic programs and data-driven initiatives across the clinical revenue cycle (e.g., utilization management, documentation/coding,…
Meeting Materials
Agenda and Background Memo
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…
Greater payer-provider alignment is needed for the U.S. health care system to achieve high-quality, affordable care.
Hospital and health system leaders and their boards continue to wrestle with how to engage millennials (generally regarded as those born between 1981 and 1996) in managing their health. They’re not alone. Many payers, tech companies and others allied to the field also are trying to figure out what…