Archive for January 2025
How Can a SaaS-Based Medicare Claims Re-Pricing Solution Help You Save Time and Money While Preventing Overpayment?
Amidst growing competition, more than 17 million beneficiaries – representing 31% – now opt for private payer-offered Medicare Advantage plans. Consequently, payers are vying to innovate and expand into lucrative markets. What Drives Success for Payers?To succeed, payers need the precision of an automated CMS re-pricing solution that aligns with the latest policies and rates.…
Read MoreReference-Based Pricing Can Lower the Rising Cost of Medicare Healthcare Costs!
Reference-based pricing (RBP) presents a groundbreaking approach to health care reimbursements, designed to tackle the skyrocketing costs by linking claim payments to a standardized benchmark, often Medicare rates. Here’s why RBP is garnering attention: Understanding Reference-Based Pricing RBP pivots towards using Medicare rates to set payment standards. Unlike traditional PPO plans negotiating individual provider rates, RBP…
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