Payer Power

Savings tips for healthcare payers from HMS.

Get the Mixcloud app

Tracks

Self-insured Employers: Do You Need a Claim Audit?

11 years ago

Self-insured Employers: Do You Need a Claim Audit?

Federal Audits: What States Need to Know—Medicaid Recovery Audit Contractors

12 years ago

Federal Audits: What States Need to Know—Medicaid Recovery Audit Contractors

recovery

contractor

care

states

act

+5

+4

+4

+3

+3

+2

recovery

contractor

care

states

act

+5

+4

+4

+3

+3

+2

Federal Audits: What States Need to Know—Medicare Recovery Audit Contractors

12 years ago

Federal Audits: What States Need to Know—Medicare Recovery Audit Contractors

rule

recovery

contractor

medicare

cms

+4

+4

+3

+3

+2

+2

+2

rule

recovery

contractor

medicare

cms

+4

+4

+3

+3

+2

+2

+2

Federal Audits: What States Need to Know—Unified Program Integrity Contractors

12 years ago

Federal Audits: What States Need to Know—Unified Program Integrity Contractors

program

medicare

states

integrity

cms

+5

+4

+4

+3

+3

+2

+2

program

medicare

states

integrity

cms

+5

+4

+4

+3

+3

+2

+2

Calling All Medicare Advantage Plans: Protect Your Premiums

12 years ago

Calling All Medicare Advantage Plans: Protect Your Premiums

savings

automation

medicare

secondary

cms

+4

+4

+4

+3

+3

+2

+2

+2

savings

automation

medicare

secondary

cms

+4

+4

+4

+3

+3

+2

+2

+2

Octobergeddon? What Commercial Insurers Need to Know About Exchanges

12 years ago

Octobergeddon? What Commercial Insurers Need to Know About Exchanges

commercial

differentiation

insurers

exchanges

churn

+5

+4

+4

+4

+3

+3

+2

+2

commercial

differentiation

insurers

exchanges

churn

+5

+4

+4

+4

+3

+3

+2

+2

Dependent Eligibility Audits: Latest News and Best Practices

12 years ago

Dependent Eligibility Audits: Latest News and Best Practices

health

insurance

dependent

plans

audits

+4

+4

+4

+3

+3

+2

+2

health

insurance

dependent

plans

audits

+4

+4

+4

+3

+3

+2

+2

Redefining Commercial Coordination of Benefits

13 years ago

Redefining Commercial Coordination of Benefits

of

commercial

health

cost

benefits

+4

+4

+3

+3

+2

+1

of

commercial

health

cost

benefits

+4

+4

+3

+3

+2

+1

Are You Ready for Transitional Reinsurance and PCORI Fees?

13 years ago

Are You Ready for Transitional Reinsurance and PCORI Fees?

savings

self

funded

cost

impact

+4

+4

+3

+3

+2

+1

savings

self

funded

cost

impact

+4

+4

+3

+3

+2

+1

There is no more content to load