Infographic: U.S. Statistics on Surprise Medical Billing

Friday, February 21st, 2020
This post was written by Melanie Matthews

Out-of-network charges typically expose patients to higher cost-sharing when they use services and may lead to balance billing—in which healthcare providers bill patients directly, often at an unexpectedly higher rate. In the past two years, one in five insured adults had an unexpected medical bill from an out-of-network provider, according to a new infographic by Kaiser Family Foundation.

The infographic examines unexpected and “surprise” medical billing trends across the United States.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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