Two Federal Courts Make Rulings on NSA Challenges in Late August
Claritev summarizes changes to NSA regulations and guidance as a result of rulings in TMA3 and AAMS.
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You’ll Never Believe What Our Payment Integrity Team Finds
As a part of Claritev’s Payment Integrity service, we review claims to ensure there are no billing errors and that the charges make sense. When we find mistakes or suspicious charges, we investigate. This blog details our eye-popping findings.
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Use of the IDR Process to Settle NSA Disputes Is Greater Than Anticipated
A little more than a year after launching the No Surprises Act’s Independent Dispute Resolution Portal, the Departments of Health and Human Services (HHS), Labor, and Treasury gave an update on the federal IDR process for the period from April 15, 2022 through March 31, 2023. Claritev highlights the findings.
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What Does the End of the Public Health Emergency Mean for Healthcare Payors?
On January 30, 2023, approximately three years after the COVID public health emergency (PHE) began, the Biden administration announced plans to let the PHE expire on May 11, 2023. If your organization pays healthcare claims, you may be wondering what the end of the PHE means for you. Claritev explains the implications below.
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Dynamic Negotiation Offer: Leveraging Machine Learning in the Toughest and Easiest Negotiations
Claritev is using machine learning in its toughest and easiest negotiations
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Six Common Questions About Reference-Based Pricing Answered
The beginning of the COVID-19 pandemic in 2020 gave rise to a new way in which payors, providers, employers, and employees look at healthcare. New questions emerged regarding the affordability of provider services, equality of access to healthcare services, and the overall model of how employers can offset organizational healthcare costs while ensuring affordable healthcare for their employees.
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HST announces two new contract agreements
HST has completed two new agreements with Cancer Treatment Centers of America, a national oncology network and Franciscan Missionaries of Our Lady Health System.
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Five Healthcare Trends to Watch in 2022 that Can Rein In Skyrocketing Costs
While healthcare spending continues to soar, impacting all players in the healthcare ecosystem, Claritev understands it will take a combination of forces chipping away at the margins to make healthcare more affordable. Here are five trends we’re watching in 2022 with the potential to lower costs, improve outcomes, and make our health system more sustainable over time.
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How the No Surprises Act Changes Reimbursement
The No Surprises Act (NSA), effective January 1, 2022, changes the reimbursement process for claims identified as surprise bills. Claritev explains how.
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