Payers are seeking to eliminate payments for care they deem unnecessary.
As the healthcare and economic headwinds shift, payers are turning their attention more and more to eliminating health care they see as low value or unnecessary. This can create problems both for primary care practices and the specialists they refer patients to.
Reducing this low value care was a topic in a MGMA Leaders Conference 2023 session on expanding referral networks presented by Steve Hendrick, partner at Curi Advisory.
“The payers are going to turn down low value care,” he said.
Here are four tips to reduce the amount of low value, or unnecessary care, performed at your practice.