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Coinsurance means a payment that a Member is required to make to Hospital for Covered Health Care Services under a Health Care Plan, which is calculated as a percentage of the contracted reimbursement rate of such services.

Have you calculated how much of this has not been collected?  Create a payer report card that highlights:

  • The payer logo for which you are trending
  • The top employers under that logo and discount identity ( >100 employees and dependents in your relevant geographic market)
  • The payers' timely and accurate payment ratios
  • The employees of each employer's copayment and deductible collection ratio
  • The frequency and amount of money uncollected that went to "bad debt"
  • Allocate the bad debt to that contract as additional discount

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5 practical & achievable ways hospitals can help employers reign in healthcare costs
 
These days employers are frustrated about healthcare expenditures and what to do about them. Costs continue to escalate, value and quality are measured by the new "yardstick du jour" creating mountains of new data that is often not actionable, employee engagement in money saving behaviors is challenging at best, and there's no way to transfer more of the cost to the employee ledger without serious benefit satisfaction backlash.
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With more than 30 years of experience in health care and hospital operations, marketing, and revenue cycle management, Maria Todd wrote the leading industry books on managed care contract analysis and negotiation  written for the medical group and hospital executive audience.   Find this book and others authored by Maria on Amazon.com

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