Topic: Payer-Provider Collaboration
Having to seek prior authorization from payers is the most burdensome regulatory issue, and it’s only getting worse, according to practice leaders.
Oscar Health and Cleveland Clinic will expand their co-branded insurance product into three more Ohio counties, the two announced Thursday.
The proposed regulations create new safe harbors and exceptions to the Stark Law to enable value-based care arrangements.
A survey of hospital leaders found a majority believe CMS' hospital transparency rule will be challenged in court and delayed.
As more Americans are directed to high-deductible plans with high co-insurance, patients must have faster insight into their cost of care before scheduling it.
As Congress takes a close look at prior authorization, payer groups are defending the practice, which they say is a crucial tool to control costs.
Altais reached a deal with the California Medical Association and startup Aledade to help their efforts provide value-based care.
Blue Cross and Blue Shield of Minnesota is teaming up with Minnesota Oncology on a five-year value-based agreement for cancer care.
Payers have made strides digitizing and automating many core processes, yet prior authorization remains a largely manual, cumbersome process.
A collaboration between California payers and providers yielded millions in savings and prevented thousands of unneeded ER visits and admissions.