2. Shift in payer responsibility: While government reform will still have the greatest impact on providers, updates in technology and increased consumerism will bring payer issues to the forefront. Specifically, how can we expect providers to deliver more accessible care when reimbursement codes are r...
The history of Vermont’s single- payor story is interesting. In December 2014 Vermont Governor Peter Shumlin (D.) announced that he was pulling the plug after four years on Vermont’s single-payer, government-run health care system. “In my judgment,” Governor Shumlin said, “the potential...
To add fuel to the fire, procedures requiring Prior Authorization are often updated and changed and the requirements vary with each payor; making it even more difficult and complicated for the Physicians, Billers, and Coders to ascertain the particular medical procedure requires Prior Authorization ...