Increasingly, hospital reimbursement rates are being more closely linked with value-based payment models that reward high quality and lower cost. This has resulted in a financial hit for many organizations.
Hospitals have little control over Medicare and Medicaid reimbursement rates. This year alone, roughly 2,610 hospitals had to pay up to three percent of their Medicare reimbursements — a collective total of $428 million — as a penalty for high hospital readmission rates. Commercial insurers can no longer be relied upon to cover losses incurred by treating Medicare and Medicaid patients. They increasingly are looking to control their costs and keep premiums down, which means less reimbursement growth for providers.
Given the recent shift in reimbursement rates, learning how to maximize small out-of-network reimbursements to increase profitability and combat insurance companies’ efforts to reduce out-of-network reimbursements has become that much more essential.
Learn more about best practices for improving profitability by maximizing out-of-network reimbursements during a webinar hosted by Becker’s Hospital Review and Collect Rx on Nov. 5 from 1:15 p.m. to 2:15 p.m. CST.
