An archive of Payment & Reimbursement Forum’s articles, featuring our latest content and past articles categorized by topic.
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Article Archive
Billings and Collections
- Understanding the Problem of Claim Processing Waste (October 2017)
- Finding a Better Way to Handle Claim Attachments (February 2017)
- Diagnosing Physician Practice Financial Pains (May 2015)
Contracting
- Solid Negotiation Skills Have an Impact on Health Plan Terms (November 2018)
- Contracting for Primary Care and Value Improves Patient Outcomes and Lowers Costs (April 2018)
- Advancing Contracting Strategy in a Complex Environment (January 2018)
- Contracting for Chronic Disease Management (October 2016)
- Winning Direct Contracts with Employers (July 2016)
- Successfully Negotiating Managed Care Contracts (April 2013)
Managed Care
- How to refine medical record sharing to mitigate risk and improve productivity (May 2019)
- Success Factors for Getting High-Cost Drugs Approved (October 2018)
- Payer Access to EHR Data Improves Cash Flow (July 2018)
- 3 Strategies for Taking Control of Payer Management (July 2018)
- Avoid ED Claim Challenges by Developing CDI Teams (May 2018)
- Video: Tips for Secure Medical Record Transmission to Payers (January 2018)
- What Anthem’s Imaging Policy Means for Hospitals (November 2017)
- How to Be a Good Payer Partner (November 2017)
- Managing and Measuring Payer Performance (July 2017)
- Partnering With Healthcare Purchasers (August 2016)
- Utilization Review Reduces Inpatient Denials (November 2015)
Medicaid Reimbursement
- How Minnesota Safety Net Providers Found Success in a Medicaid Alternative Payment Model (April 2016)
Medicare Reimbursement
- 4 strategies for improved Medicare Advantage plan performance (April 2019)
- How CMS Leveled the Playing Field for Hospital Readmission Penalties (August 2017)
Medicare/Medicaid Cost Reports
Payment Models: Bundled Payment, Shared Savings, P4P, etc.
- Data Sharing Tips for Value-Based Payment Arrangements (February 2019)
- A Push to Streamline Value-Based Payment (August 2018)
- Developing a Specialty Medical Home Contract (February 2018)
- United HealthCare ACO Contract Emphasizes Quality (October 2017)
- Why Horizon BCBSNJ Likes Episode-of-Care Payments (May 2017)
- Video: Tips for Direct-to-Employer Contracts from UNC Health (February 2017)
- Negotiating Maternity Care Bundles (January 2017)
- Negotiating a Joint-Venture Health Plan (November 2016)
- Negotiating Tips for ACO Contracting (January 2016)
- Accounting for Non-Performance-Related Variation in Shared Savings Contracts (January 2015)
- Six Ways to Address Non-Performance-Related Variation in ACO Contracts (January 2015)
Preauthorization
- Value-Based Payments Can Reduce Need for Preauthorizations (January 2019)
- Why Health Plans Are Easing Preauthorization (April 2017)
Pricing
- Understanding Pricing Trends in a Changing Environment (August 2018)
- Discerning the Impact of Lesser-Than and Greater-Than Provisions in Payer Contracts (July 2015)
Quality and Cost Reporting
