Two things health plans and providers can agree on are the importance of improving patient satisfaction and lowering administrative costs. They also know that increased communication and collaboration are necessary to achieve these goals. The challenge is that neither health plans nor providers have made improving communication a business priority.
Health plans can do a lot to improve provider collaboration by providing accurate, real-time information throughout the patient/claim life cycle. However, when providers want to feel confident in the information they receive from health plans, especially when dealing with claims, they pick up the phone.
To learn more about the state of payer-provider collaboration, we surveyed more than 40 health plans and 400 practice- and facility-based providers to find out what communication gaps exist; what processes or technology would bridge those gaps; and where improved collaboration would do the most good.
Providers want technology that helps with all the patient management functions—registration, processing payments, handling claims, accounts receivable, and authorizations—but right now, they are overburdened by many different tools from many different health plans. Investing in, and improving provider use of, an online, multi-payer solution presents a big opportunity for both stakeholders to improve care and lower costs.
Learn more about our original research study. Download your copy today, The State of Payer-Provider Collaboration.