Infographic: The Reality of Healthcare Claims Denials

Friday, August 12th, 2016
This post was written by Melanie Matthews

Some 90 percent of healthcare claims denials are avoidable and two out of three denials are recoverable, according to a new infographic by ZirMed.

The infographic looks at the rates of claims denials, the cost of appealing denials and provides a timeline for working a denial.



Innovative Plan-Provider Ventures: Case Studies From Anthem and AetnaInnovative Plan-Provider Ventures: Case Studies From Anthem and Aetna provides the details of two case studies of plans and providers that are collaborating on value-based care models:

* Vivity, a collaboration between seven prestigious California health systems and Anthem Blue Cross of California, promises to improve quality and share cost savings among the participating entities.

* Innovation Health, the northern Virginia health plan owned 50-50 by Aetna Inc. and Inova Health System, represents a great example of an “alignment” structure, with the new health plan allowing the provider and carrier to tap into each other’s expertise to lower costs, grow market share and move to value-based payment.

Innovative Plan-Provider Ventures: Case Studies From Anthem and Aetna provides strategies to reduce coverage costs and improve outcomes.

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