Healthcare Innovation March 21, 2024
Premier and 118 of its member organizations provide recommendations on policy changes for Medicare Advantage plans
A recent survey of members by healthcare improvement organization Premier found that nearly 15 percent of all claims submitted to private payers for reimbursement are initially denied, including many that are pre-approved through a prior authorization process.
Premier and 118 of its member organizations sent a letter to the Centers for Medicare & Medicaid Services (CMS) highlighting the results of the survey of hospitals, health systems and post-acute care providers that they say reveal the scope of payment delays and denials by private payers.
Premier noted that survey respondents reported serious concerns with payment delays and denials, which they say adversely impact...
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