Payers were ranked based on metrics such as days in accounts receivable, claim resolution rate, denial rate and more.
Overall top performers
• Health partners
• Group Health Cooperative
• Humana
• BCBS-WA Regence
• Maryland Physicians Care MCO
Commercial and major payers
• Humana
• Aetna
• Cigna
• Medicare-B
• Champus-Tricare
Blues/regional payers
• BCBS-WA Regence
• BCBS-MA
• BCBS-LA
• BCBS-PA Capital Blue Cross
• BCBS-NC
Medicare payers
• Medicare B-WA
• Medicare B-GA
• Medicare B-NC
• Medicare B-AL
• Medicare B-TN
Medicaid state payers
• Medicaid-OH
• Medicaid-CT
• Medicaid-IL
• Medicaid-VA
• Medicaid-LA
Medicaid payers overall
• Tufts Health Public Plans
• CoventryCares
• Select Health of SC
• Medicaid-OH
• Boston Medical Center-Health Net
More articles on finance issues:
Overhead, administrative costs for health plans explode under the PPACA
UPMC, Highmark refuse to negotiate Medicare Advantage issue
5 current trends in health system transactions and joint ventures
