The Qualifying Payment Amount (QPA) is a central component of the No Surprises Act, representing the median in-network rate used by health plans to determine out-of-network reimbursement. Understanding how QPA is calculated and applied is critical for payors and providers navigating payment decisions and the IDR arbitration process.
Innovations in AI and machine learning unlock opportunities to eliminate waste, reduce costs, and make healthcare more affordable. Claritev offers the best of both machine power and human power to help Medicare Adavantage plans ensure the accuracy of CMS premiums.
MultiPlan awarded $36,000 in rural health grants to four hospitals, supporting innovative programs designed to improve access to care and address critical healthcare needs in underserved communities.
MultiPlan’s 2018 Rural Health Grants supported four hospitals in expanding care access and improving outcomes in underserved communities. From dementia education and wound care certification to mobile mammography and heart failure support programs, each recipient used funding to deliver innovative services and strengthen healthcare access where it’s needed most.