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Health insurers toughen stance in disputes over hospital rates
Health insurers are fighting demands by hospitals for higher reimbursement rates by threatening to drop the hospitals...
Massachusetts insurer details its unequal payments
Newly released documents from MA-based insurer Harvard Pilgrim Health Care Inc. detail how certain hospitals and...
Web Exclusive: Pure Genius: TPA and Hospital Collaborate to Decrease Denials and Save
Claims processing has been a slow and inefficient process on both sides, leading to large financial losses. After years...
Hopkins says CareFirst owes $2 million in claims
Johns Hopkins Healthcare LLC is suing CareFirst of Maryland Inc. for $2 million, claiming the insurer owes it that much...
Magazine: Get What You Deserve
A new Web-based system helps Emory Healthcare recover contractual underpayments.
Independence Blue Cross, PA-based system agree on reimbursement contracts
Independence Blue Cross and Radnor, PA-based Jefferson Health System have reached an agreement on new three-year...
Missouri-based system to sever contract with UnitedHealthcare
Kansas City, MO-based St. Luke's Health System has announced that it intends to terminate its contract with...
California hospital ends Medi-Cal contract
Simi Valley (CA) Hospital has terminated its state contract to accept Medi-Cal patients and will now treat such...
Audio: Give and Take
HCPro recently published a book titled Top Managed Care Contracting Clauses, which was edited by Robin Fisk, an...
Magazine: Reimbursement Trends
Reimbursement Trends: Perhaps no issue looms larger for providers and payers alike than reimbursement.

Book: Managed Care Contracting Survival Guide for Healthcare Providers:
The Managed Care Contracting Survival Guide is a must-have resource for managed care directors and their staff. It...
Book: The RAC Survival Guide:
The RAC Survival Guide is a comprehensive resource that will help you navigate the complex RAC process from beginning...