Value-based healthcare: Of Value to Whom?

CEO & Founder Mercury Healthcare InternationalValue-based pricing arrangements have become a euphemism for risk transfer agreements that transfer the costs associated with healthcare delivery to providers while the payers that contract with providers apply measures that limit their financial risk. That's not surprising; they aren't in the business of healthcare. They are in the business...

When a Managed Care Contract Might Be Unenforceable

Often when I am assigned a project to review a managed care agreement for a client, I find all kinds of unenforceable or impracticable terms and phrases in contracts that would never be settled by arbitration. The primary reason for this is due to the fact that the arbiter cannot make up a solution...

Update your physician office financial policies to face new collections challenges

Language you can use to update your physician office financial policies for 2015 to face new collections challenges associated with high deductible plans The ACA and policies issued through the new health insurance exchanges come with steeper patient financial responsibilities, including high-deductibles and higher co-insurance (often up to 50%). This places more emphasis on...