Top 10 Hospital Contracting Priorities
Despite all the talk about long-range goals to achieve affordable and accountable care, hospitals set very short-term goals when it comes to their contracting priorities with health plans. Hospitals are more concerned with increasing their reimbursement rates and limiting claims denials than they are with developing bundled payments or ACOs, according to survey results.
The annual survey was commissioned by ReviveHealth, a Nashville-based public relations firm that focuses on healthcare, but is performed by Monigle Associates, a Denver-based branding research firm. The survey captured responses from more than 400 hospital and health system CEOs, CFOs, and payer relations executives who negotiate managed care contracts with national health insurance companies such as Aetna and Cigna.
Insurers don't like the survey because it generates a few attention-getting favorability ratings about the health insurer (WellPoint) that hospitals and health systems love to hate. That's the story that has gained the most media attention. It's too bad, because a deeper dive uncovers some real meat regarding the often contentious relationship between hospitals and health insurers.
- Interventional Radiology No Longer a Sub-Specialty
- NFP Hospitals' Revenue Growth at 'All-Time Low'
- Acute Kidney Injury Gets New Focus
- Transforming Cancer Care
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- Evidence-Based Practice and Nursing Research: Avoiding Confusion
- mHealth Tackles Readmissions
- CNO Leads $1M Charge for New Scrubs, Uniforms
- Sharp HealthCare Leaves Pioneer ACO Program
- MA an Insurance Proving Ground for Providers