Fact Based List:

3 Promising Avenues for Improving Payer-Provider Negotiations

  1. Benchmark provider payment rates to Medicare
  2. Determine payment as an average of regional “amount generally billed” price schedules for that service or outcome
  3. Set payment rates based on historical averages from designated databases, such as FAIR Health

Source: Fierce Healthcare
Source URL: http://www.fiercehealthcare.com/payer/efficient-pay-provider...