The Obama administration and insurers oppose a proposal that hospitals buy their sickest and poorest patients health insurance under the Affordable Care Act, in fear it would create even more difficulties in the new healthcare exchange, the Financial Times reported.
Continue reading Obama Administration, Insurers Oppose Hospitals Purchasing Insurance For Sick, Poor
Many employers have begun to adopt a strategy known as “reference pricing” to help reduce health care costs. Under this benefit design, employees get insurance plans that set price caps on certain services and procedures. Enrollees are allowed to use any provider. But if they use providers with fees higher than the “reference price,” they must pay the difference between the reference price limit, determined by the employer or insurer, and the actual charge.
“HST realizes that not all highly inflated claims will result in a fair and reasonable payment arrangement with the provider. Egregious claims reviewed by HST that are not mutually resolved can be directed to our network of law firms. We also have a Patient Advocacy Center (PAC) that provides a coordinated and collaborative roll between the payer, provider and member. HST ‘s expertise on the pricing and reimbursement cost is included at no additional fee. Supporting policy language significantly improves the results based on objective industry metrics.” www.hstechnology.com
Continue reading HSTechnology Inc. Provides Cost Plus – Reference Based Pricing Model Since 2009
