What to Do About Slashed Reimbursement Rates
Strategies for Stability and Advocacy
What to Do About Slashed Reimbursement Rates
As leaders of payors, both from a financial perspective as well as through an amplified media lens, Optum and fellow entities within the UnitedHealth Group conglomerate are very much in the spotlight.
Moral opinions aside, the behavioral health industry faces continued slashed reimbursement rates that remind us of the current reality and intricate cycle of insurance operations.
As a business, wanting to see more money coming in than going out makes sense, especially when you have investors, and your financial decisions are under constant supervision of the public. With that, and with a massive rise in Americans using their behavioral health benefits, Optum, and major payers across the nation chose to stick with their pattern of lowering reimbursements to lower their overall costs.
Tuesday, Feb 11th: Join the Conversation
As providers, it’s crucial to empower your team and partners to navigate insurance challenges by teaching payors how to collaborate with your facility and training your staff to advocate effectively for your organization and patients.
To navigate these changes effectively, join us on Tuesday, February 11th, for an insightful discussion featuring Linda Shulman, Director of Payor Relations and Advocacy at Hansei Solutions. This session will cover Optimizing Utilization Review and Length of Stay in Behavioral Health Treatment.
We’ll discuss:
Using metrics to drive informed decisions
Knowing your payors and building effective relationships
Understanding the process to streamline operations and improve outcomes
In the meantime …
Whether you’re lost in the trenches or frustrated by the continued loop of barricades, we urge you to:
a) aim to accept the current reality of the payor-provider complex, and
b) take action to feel secure in how your company is being supported
c) Work with outside sources like billing companies to access critical data, optimize reimbursement strategies, and improve operational efficiency
If you’d like an expanded perspective on this matter, we invite you to read Chris Larson’s work in BHBusiness.com.
We’ll see you next week!
