The landscape of the health insurance industry is changing, says Adriaan Epps, director of contracting services with abeo. In the last few years, payors have increased their focus on quality, efficiency, and outcomes, responding partly to the passage of the Patient Protection and Affordable Care Act and partly to the stresses of a recession. More payors are moving towards a system of bundled payments or global payments, under which providers receive a pre-determined amount for a clinically defined “episode of care” or period of time. Others are preparing for the implementation of health insurance exchanges in 2014, when states or the federal government will set up online marketplaces where consumers can comparison-shop for health insurance, thus increasing competition among payors for the lowest rates.
Surgery centers are not always the first to experience changes in payor methodology, but as hospitals move towards bundled payments and tiered networks, ASCs will have to do the same, Mr. Epps believes. Here he discusses five trends affecting reimbursement for ambulatory surgery centers and physician practices.
Follow the link to read the full article: Bundled Payments, Narrow Networks & Acquisitions: 5 ASC Reimbursement Trends To Expect in 2013. Written by: Rachel Fields with Becker’s ASC Review
ABEO EXPERT SPOTLIGHT features individuals within abeo that have contributed their expertise to help educate others. Adriaan Epps is among abeo’s growing business services team that is dedicated to providing services like; anesthesia practice management; managed care contracting; OR Efficiency; physician compensation models; and more. Visit abeo’s Business Services web page to learn more.
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abeo is a national billing company specializing in complete revenue cycle management and business services that are primarily focused on anesthesia providers and ambulatory surgery centers. We uphold a reputation for providing quality-driven solutions, a high level of personal service and the expertise needed for today’s complex healthcare environment.
abeo Management Corporation (abeo) serves as a leading source of revenue cycle management and practice management with a specialization in anesthesia. The company leverages its people, processes, and software to serve independent practices, surgery centers, hospitals and healthcare systems with a scope of services that include billing, coding, transcription, practice management, and business consulting.