Archive for January 25th, 2016

ClearHealth Delivers Medicare-Based Pricing Programs

Monday, January 25th, 2016

Clear Health Strategies

ClearHealth delivers comprehensive Medicare-based pricing programs that are fully configurable to allow your organization to achieve maximum savings while using a cost containment strategy tailored to meet your strategic goals.

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BUCA Document Exposes Out-of-Network Reimbursement Strategies

Monday, January 25th, 2016

mulebriar

Part of a continuing series………..(See previous two posts)

“Reasonable charges for inpatient and outpatient facilities generally equal twice a facility’s cost as reported by the facility to CMS….” (more…)

Working the “Spread” – Another PPO Revenue Stream

Monday, January 25th, 2016

mulebriar

By Molly Mulebriar

In our continuing efforts to expose insurance industry secrets that drive up health care costs, we find more evidence of third party skimming through managed care contracts.

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