payer-provider collaborations: the key to improved patient outcomes [special report]

by Prof. Bertrand Schuster 8 min read

Payer and provider collaborations that improve quality …

18 hours ago In this special report, FierceHealthcare takes a look at two successful partnerships among providers and payers that have led to improved patient outcomes and patient engagement. >> Go To The Portal


The payer and provider role

The mandate puts most of the responsibility on payers. However, payers can’t fulfill that responsibility without engaging providers, as they are typically at the center of the cost of care conversation with patients.

The bottlenecks and benefits of advanced EOB

The intention of advanced EOB is positive as it is a critical step for patients to manage the cost of their care. Unfortunately, the workflow is flawed. Advanced EOB creates extra administrative work for payers and providers without appropriate guidance, which causes inconsistency in how changes are implemented.

Looking ahead

Patients need to be at the forefront of their health care. With this Act, patients will have better transparency into the cost of their care and accurate, up-to-date information about in-network providers. It is vital to have solutions and digital processes in place so there is minimal disruption to operations and the patient’s needs are met.