Insurers paying doctors faster but inefficiency remains, especially with Medicaid

NewsGuard 100/100 Score

"US health insurers are paying doctors seven days faster, on average, and denying 12 to 18 percent fewer claims than last year, but the claims reimbursement system remains saddled with inefficiency, according to a new ranking of payers set to be released today," The Boston Globe reports. "While most private insurers have made progress in using technology to accelerate medical claims processing, state-run Medicaid programs across the country continue to lag, the report shows, even as the states prepare to add tens of millions of newly insured individuals to their rolls under the national health care law."

The report, from Athenahealth Inc., "in collaboration with the Physicians Practice management journal, drawing on a database of 24,000 health care providers in 45 states," found that Humana Inc. was the most efficient insurer. But "the majority of back-office operations at hospitals, doctors offices, and insurers remains slow and disorganized because the fragmentation of the health care industry makes it difficult to establish standards for technology and transactions" (Weisman, 5/26).


Kaiser Health NewsThis article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

Comments

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment
Post

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Study suggests treating anxiety and depression significantly reduces ER visits and rehospitalizations among heart disease patients