How commercial payer denials are making hospitals’ finances worse

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Top Story Commercial Payers' Rising Claims Denials Rates Are Exacerbating Hospitals' Financial Woes Compared to government payers, commercial payers take significantly longer to pay hospitals and deny claims at a higher frequency — often without a justifiable reason to do so — according to a new report. Commerical payers have better reimbursement rates than government payers, but providers often have to wait 90 days or more get claims paid by commercial plans. Sponsored Content MedCity INVEST Speaker Q&A: Thompson Coburn's Daniel Tardiff Presented by MedCity News & Thompson Coburn Healthcare The healthcare lawyer and former GC weighs in on pitfalls for healthcare startups and how executives can find success. Learn More >>

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Retailers Are Making a Big Push Into Healthcare. Is Our Sector Ready? While retailers already have a customer service focus, there is a steep learning curve to healthcare and the nuances of how things operate. It will be critical that these brands do their due diligence and invest in innovations that work to improve the fundamentals of healthcare such as efficient provider credentialing and flexible and sustainable working practices for providers. In Therapeutic Innovation, Digital Must Be Held to the Same Rigor as Biotech While these are key benefits of digital therapeutics and this optimism may have been laudable, this approach to market relies on promise without proof of efficacy and ignores the fact that not all digital therapeutics are created equal. A Father's Vision for New Kind of Gene Therapy Leads to a $100M Financing Ray Therapeutics' gene therapy is independent of the causative genes driving inherited vision disorders, which CEO Paul Bresge says is important for reaching a broad patient population. Rare disease retinitis pigmentosa is the first disease target, but the startup also plans to test its approach in more prevalent eye disorders. Survey: 65% of Americans Say Employer-sponsored Insurance Necessary for Financial Security About 68% of Americans believe employer-sponsored insurance is important for employee recruitment and 77% believe it's important for retention, according to a new AHIP survey.

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