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Posts Tagged ‘Medicare Claims Repricing Tool’

Why Is It Important to Understand the Gap Between Employer and Medicare Payments?

By pwsadmin | July 25, 2024
CMS Reprising Tool

Public payers underpay for medical services and you can hardly challenge hospitals. However, there is no relationship between a hospital’s prices charged to commercial payers and its volume of Medicare patients.  There is never a good time to take on hospital prices, but the task is essential if the nation ever gets a grip on…

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Self-funded Employers are Leveraging Medicare Claims Repricing Tool to Cut Costs, Not Benefits

By pwsadmin | December 24, 2020
Computer screen displaying financial charts and data in an office setting.

As the world deals with the impact of COVID-19, one of the most common issues we hear about healthcare today is the cost. The various healthcare studies indicate that the cost of providing medical and pharmacy benefits will rise 5 percent more for three consecutive years.  As a result, the companies that use the best-in-class…

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