‘We need everybody to work together’: As denials grow, health systems are responding with strategic, data-driven approaches
Becker's Healthcare June 27, 2024
The nation’s largest payers reported billions in profits in 2023. Yet, denials continue to rise.
Further, a recent survey of consumers found 18% of insured adults experienced denied healthcare claims in the past year. Meanwhile, many health systems are operating with negative margins or margins hovering close to zero.
Becker’s Healthcare recently spoke with Jerilyn Morrissey, MD, chief medical officer at CorroHealth, about how effective denial management strategies can improve the quality of patient care, as well as financial stability for hospitals and health systems.
Question: What are the most common reasons for healthcare denials today, and how have these reasons evolved in recent years?
Dr. Jerilyn Morrissey: There’s a plethora of reasons for healthcare denials, and they seem to...