Archive for November 10th, 2011

Medicare/DRG Based Pricing – The Future Of Cost Containment

Thursday, November 10th, 2011

Payments based on PPO discounts and negotiations/repricing based on provider charges are becoming increasingly ineffective cost containment solutions due to escalating healthcare provider charges. Recognizing this, many large insurers are already utilizing Medicare/DRG Based Repricing for reimbursement of some of their clients’ claims.

(more…)