Balancing Rising Healthcare Costs with Complex Claims Pricing Considerations

Copy of Payer-to-provider (2000 × 2000 px) (8)

Navigate the complexities of healthcare claims pricing as member dynamics and regulations continue to change. This whitepaper will:

  • Address the challenges payers encounter with in-network and out-of-network pricing and the impact of current regulations.
  • Highlight how leveraging data and technology can drive informed decisions, foster compliance and operational efficiency.
  • Show the importance of strategic partnerships in enhancing transparency and relationships between payers and providers.

 

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“In the first nine months of 2023, consumers were shielded from more than 10 million surprise medical bills.”

– Survey conducted by AHIP and the Blue Cross Blue Shield Association (BCBSA).