Health care reform from your perspective
How will reform impact your planning for the future? What actions are other organizations like yours taking now? How can OptumInsight help you thrive in a changing industry?
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Health care reform accelerates the need for technology that helps your practice exchange patient health and billing data with other providers and insurers, manage growing compliance requirements, and improve reimbursement efficiency.
Increased scrutiny around quality outcomes and the need to deliver care more efficiently in response to lower reimbursement rates and changing payment structures will test hospitals’ baseline health.
and insurers the dramatic change that the Patient Protection and Affordable Care Act (PPACA) is driving affects everything from rate review provisions and minimum medical loss ratios through removal of lifetime limits and requirements that most individuals carry some form of health insurance.
any expansion of the Medicaid program will place more pressure on administrators to control costs. But there is good news: The larger the state Medicaid program is, the more opportunities there are to save money through program integrity and productivity improvements.