5 must-reads on payer-provider relationships

Here are five recent articles posted by Becker's Hospital Review that concern payer-provider relationships:

1. Tennova hospitals out of network with UnitedHealthcare, but physicians still in    
Hospitals of Knoxville, Tenn.-based Tennova Healthcare are no longer in UnitedHealthcare's provider network. However, Tennova physicians are still in the insurer's network, causing confusion for patients.

2. Molina, BCBS of South Carolina among ACA health plans with highest denial rates       
Health insurers selling plans on HealthCare.gov denied 17 percent of in-network claims on average during the 2016 plan year, according a Kaiser Family Foundation analysis.

3. UnitedHealth, Anthem, Permanente physicians: It's time hospitals, payers trust each other
Limited trust has existed between payers and providers thanks to disagreements over networks, prior authorization and price variation; however, now is the time to change this dynamic, executives from UnitedHealth Group, Anthem and Permanente Medical Group wrote in a JAMA opinion piece.

4. Most providers open to payer collaboration — Here's 1 way payers can make that happen
Health plans are looking for new ways to compete for customers, and some are finding that collaborating with healthcare providers can improve outcomes and costs for members; however, payers still have to persuade wary providers to work with them, according to a Deloitte analysis.

5. UnityPoint back in network with Humana, Molina
All of UnityPoint Health's facilities and physicians in central Illinois are in network with Humana and Molina Healthcare.

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