Health Affairs August 2, 2022
Barak D. Richman, Alan Weil

In the United States we have multiple commercial health insurers, each with their own rules regarding filing and documenting claims for payment.
Medicare and Medicaid have their own rules and both of those programs rely heavily on insurers who impose their own rules. All this adds up to is significant burden on health care providers who rely upon staff and technology to navigate this complex system.
While there are various estimates, all told administrative costs account for at least a...

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Topics: CMS, Govt Agencies, Healthcare System, HIM (Health Inf Mgmt), Insurance, Medicaid, Medicare, Payer, Pricing / Spending, Provider, RCM (Revenue Cycle Mgmt), Technology
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