Veda’s Post

Expanding #TransparencyInCoverage requirements give #HealthPlan members the power to compare out-of-pocket costs between providers, see negotiated contract pricing and make informed #healthcare choices. HealthEdge's HealthRules® Payer makes it simple for #payers to deliver the right information, build trust ,and put members’ needs first. Here's how: https://ow.ly/NVgx50PJpWZ #PriceTransparency #BenefitsTechnology #compliance #CoreSystem #API

The negotiation table is where the tug-of-war between payers and providers peaks. For payers, proving they can help reduce expenses is a crucial strategy. https://bit.ly/3zcXilc HealthLeaders #healthcare #HealthPlans

What is RebateRight? 🔷 Medicare Eligibility: Quickly check a patient’s Medicare eligibility status, reducing administrative time and improving patient service. Helps healthcare providers identify claiming options and eligibility for services. 🔷 Simplified Medicare Compliance: Breaks down complex Medicare rules, making it easier for providers to understand and navigate the MBS. Reduces the risk of errors related to billing and patient eligibility, helping you stay compliant with Medicare guidelines. 🔷 Automatic MBS Data Updates: Always equipped with the latest MBS information, ensuring providers have accurate and current data. 🔷 Seamless API Integration: Easily integrates with existing healthcare systems, enhancing workflows. 🔷 Support for Multiple Providers: Ideal for various healthcare settings, including clinics, hospitals, private and public practices. 🔷 Enhanced Patient Experience: Provides patients with more precise information regarding their Medicare options, fostering trust and satisfaction. Helps healthcare providers communicate eligibility details effectively, improving overall patient engagement. 🔷 Cost-Effective Solution: Reduces the administrative burden on staff, allowing them to focus on patient care. Aiming to reduce losses associated with claim rejections and billing errors through accurate eligibility checks. Ready to find out more? 📣 Schedule a call with us: https://lnkd.in/gvTKHaqj #RebateRight #HealthTech #MedicareEligibility #MBSOnline #Healthcare

🌟 HIMSS is standing strong with CMS and ONC in the battle against information blocking in healthcare! 👏 The proposed rule under the 21st Century Cures Act is all about creating incentives for providers to jump on the interoperability train. Tom Leary, the Senior VP and Head of Government Relations at HIMSS, gets it: it's a tricky balancing act. Disincentives can push for that dreamy interoperable ecosystem, but too much burden might scare off providers from joining the Medicare party. 😬 So, what are your thoughts on finding that sweet spot? How can we make sure healthcare providers are all in for interoperability without overwhelming them? Let's chat! 🚀 #healthtech #healthcareinnovation #degitalhealthcare 🌐

Discover the top 5 strategies regional health plans can use to minimize provider abrasion and enhance healthcare experiences. Dive into our latest blog for insightful tips on improving payer-provider relationships. https://lnkd.in/eFDmDFvN #Zelis #letcareflow

Feeling the Credentialing Squeeze in Your Healthcare Practice? ⏱️ Many healthcare providers struggle with the burden of credentialing. Between applications, re-credentialing, and ensuring compliance, it can be a major time drain. At Sullivan Management & Consulting Group (SMCG), we specialize in streamlining the credentialing process for healthcare practices. Our team of experts can handle everything for you, allowing your team to focus on what truly matters: delivering exceptional patient care. Partnering with SMCG for credentialing offers several benefits: Reduced administrative burden: Free up your team's valuable time for more strategic tasks. ⏰ Improved efficiency: Our streamlined processes ensure faster onboarding and re-credentialing. ⏩ Enhanced compliance: We ensure your practice meets all Medicare, Medicaid, and other standards. ✅ Ready to take the hassle out of credentialing? Contact SMCG today for a free consultation and see how we can support your team's success! https://lnkd.in/eGMimnp8 #Credentialing #Healthcare #PracticeManagement #Compliance #SMCG

Too many health decisions are made with incomplete information, and that’s driving a wedge between payers and providers. Can your claims pricing solution help solve the problem?    Rick Ellsworth, Zelis General Manager of Open Access and In-Network Pricing, touches on this in his latest blog and shares a few ways payers can improve provider communications in claims pricing. Check it out here: https://lnkd.in/enQp6jgZ

The rising administrative costs in healthcare are affecting both patients and the overall healthcare system. Our latest blog post delves into effective strategies to reduce these expenses, improving efficiency and care quality across the board. Here's how World Class Health is addressing this critical issue: https://bit.ly/4dLpSsI

The people are speaking! More than 1000 complaints in the information blocking portal. 80% from patients. Imagine if the full population of the U.S. knew they had the power to report information blocking of medical information. #education #transparency #accesscontrol #consentpreferences

The payer/provider war is brutal, but playing nice can be a competitive edge. Should healthcare #CFOs fake it until they make it? Too often, both #payers and #providers come into #negotiations with the mindset of, "'Here's our set of demands, and if you aren't able to reach those demands, we're going to walk.' That's a tough line to toe, and you know, sometimes it's not putting the patients and the members at the forefront." Are you willing to put down the sword? This week, read part two of Delaney Rebernik's chat with Robin Damschroder, FACHE (Henry Ford Health); Rick Gundling (Healthcare Financial Management Association (HFMA)); and Brian Fisher and Richard Bajner (Guidehouse). https://lnkd.in/eWsb_Nrc