Payers

What payers need to do to improve relationships with practices.

The verdict is in for how practice's feel about their payers, and it isn't good.

The crux of payer-provider collaboration lies in alignment.

Consider the puffer fish

Here are 11 ways you can, and should, engage in grassroots advocacy for your practice, your patients and yourself.

It’s clear the state of PA must change. Artificial intelligence has a role in streamlining administrative tasks.

Negotiating your payer contracts is the ticket to the money you deserve.

Payers are seeking to eliminate payments for care they deem unnecessary.

These tips can make your next payer negotiation a bit more of a breeze.

Consider these strategies to negotiate favorable payer contracts.

They cost you a lot more than you think.

If you are in a membership medicine model, is working with payers the right way to go?

Follow these tips to turbocharge the claims process.

How physicians can remain updated with standards of care.

Will point solutions continue to emerge, or will there be a widespread consolidation of programs and services?

How providers should take issues into consideration when exploring point solutions for their patients.

The shortcomings of current standards of care and why finding solutions might be so challenging and complex.

What we mean by ‘standards of care’ are, as well as how they are developed.

A compliance program is important in this day-and-age, thanks to increasing amounts of healthcare fraud as well as payment reform.

To avoid potential conflict, patients should be provided advance notice of your policy to avoid surprise and embarrassment.

A fast and cost-efficient way to inform people about what they owe.

Advanced, user-friendly artificial intelligence (AI) solutions can save clinics $7 billion each year

Unfortunately for physicians, payers continue to demand prior authorization for more care items.

It’s not uncommon for private practices to receive rates far below Medicare standards.

The pandemic is changing physician leverage.