Premier Relaunches Survey on Payment Denials and Delays by Health Plans
Building on our advocacy efforts to address payment denials and delays by private payers, Premier is relaunching our survey to collect data on behalf of members facing these ongoing issues with health plans. Premier published the results of last year’s survey and leveraged the responses representing 500+ hospitals/52,000+ beds to send a letter, signed by 118 of our members, to CMS outlining data-driven policy changes to the Medicare Advantage (MA) program. CMS’ response sheds light on the scope and limitations of what the agency believes is its current statutory authority in this area, which Premier is leveraging to refine our policy recommendations on these key issues.
With the relaunch of the survey, Premier aims to better understand the financial and administrative burdens providers encounter when appealing or pursuing claim denials and delays and to identify emerging trends.
Ideally, the survey should be completed by health system Finance or Revenue Cycle Management teams. The survey can be completed online or can be completed via PDF and emailed to Mason Ingram at Mason_Ingram@premierinc.com. Should your organizational policies require that you submit this information in a different format, or via protected means, please contact Mason and we will gladly work with you to meet your organization’s needs. For the purposes of the survey, please consider the time period from Jan. 1, 2023 to Dec. 31, 2023.
Premier is asking for responses to the survey by Sept. 16, 2024. Responses to the survey will be aggregated and anonymized.
Should you have any questions regarding the survey, please contact Mason Ingram at Mason_Ingram@premierinc.com.
Links:
- Survey
- Results and blog from initial survey
- Letter to CMS from Premier + 118 member organizations
- Response from CMS
- Select media hits from initial survey - Beckers, Fierce Healthcare, Modern Healthcare, Bloomberg, Healthcare Innovation, HealthLeaders Media, Radiology Business, AHA’s Market Scan, Becker’s Hospital Review, Becker’s Hospital CFO Report, Becker’s ASC Review, Healthcare Finance News, This Week Health, Fierce Healthcare, Revcycle Intelligence, Medical Buyer, OR Manager, Pharmacy Practice News, and many more!