Tag Archives: health insurance claims

Price Transparency in Healthcare

What is Price Transparency and How Does it Relate to Healthcare? Price transparency is exactly what it sounds like: a push for information on the prices of certain healthcare services to be made available to consumers. As healthcare in the … Continue reading

Posted in Affordable Care Act, cost savings, employee benefits, health care, health care costs, health care price transparency, health insurance, pay transparency, prescription drug prices, preventive health care, wellness | Tagged , , , , , , , , , , , , | Leave a comment

Modernizing Payment Processing Methods in the Health Care Industry

Today’s health care environment has grown increasingly complex due to compliance requirements that were introduced as part of the Affordable Care Act (ACA). Among other initiatives, the ACA included an industry mandate for the development and use of a HIPAA-compliant Electronic Funds Transfer (EFT) standard for electronic claims payments. The law also increased transparency by implementing Medical Loss Ratio (MLR) requirements that limit a health plan’s ability to pass increased administrative costs on to plan participants. Continue reading

Posted in ACA, Affordable Care Act, health care, health care payment processing, health insurance, health insurance claims | Tagged , , , , , | Leave a comment