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Title : Transparency As Well As Accountability: The Door Swings Both Ways--Ama Releases Its National Wellness Insurer Written Report Card
link : Transparency As Well As Accountability: The Door Swings Both Ways--Ama Releases Its National Wellness Insurer Written Report Card

Transparency As Well As Accountability: The Door Swings Both Ways--Ama Releases Its National Wellness Insurer Written Report Card

You convey to wonder what they're thinking most over at AHP--the health insurance merchandise association that called for to a greater extent than transparency as well as accountability for the provider community a few days ago--now that the American Medical Association's (AMA) detailed study carte on insurer claim processing functioning is out.

And, it's a fascinating read.

How ofttimes produce health plans pay at the contracted payment rate?

"On what pct of records does the payer's allowed sum equal the contracted payment rate?" The AMA says wellness plans accuracy rates are:

• United Healthcare registered a marking of 61.55%
• Cigna scored 66.23%
• Aetna came inwards at 70.78%
• Anthem (Wellpoint) scored 72.14%
• Humana came inwards at 84.20%
• Coventry was the best at 86.74%
  

Well, Coventry was the best except for Medicare, which the AMA said scored a 98.12%. So much for the for-profit model doing a amend chore than all those bureaucrats.

Medicare was the slowest on turnaround fourth dimension for receiving as well as responding to a claim (14 days) as well as had the highest denial charge per unit of measurement (6.9%), however.

You tin encounter the entire study as well as the methodologies on the AMA site. The insurer comparing doc is labeled, National Health Insurer Report Card.

Thus the article Transparency As Well As Accountability: The Door Swings Both Ways--Ama Releases Its National Wellness Insurer Written Report Card

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