There has never been a more pressing time in healthcare for a provider-based, payer scorecard. Recent payer behavior around denials, decreased reimbursement, and delayed payments demands accountability. Commercial payers and their Medicare Advantage plans have proved disadvantageous to providers. Payers have leveraged providers’ data against themselves, while providers have nothing to hold payers accountable.
Providers need data, not anecdotal stories, to hold payers accountable. Providers need information that helps identify systemic behavior. Providers need to unite and create a data repository that rivals the information the payers already possess. It is time for providers to transition from defense and go on offense.
A national, normalized, payer scorecard is no longer just a concept. The Arkansas Hospital Association has united with hospitals and health systems across the state to create a provider-based payer scorecard powered by claims and remittance data sources directly from hospitals and refreshed monthly. The days of latent, outdated information are over and replaced with current, credible knowledge.
1.5 Continuing Education Hours Applied For: ACHE Qualifying Education Hours, Certified Professional Healthcare Quality Hours, and Nursing Contact Hours