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Transparency in Coverage Rule

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Manage episode 452004662 series 3618808
Content provided by Yan Chow. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Yan Chow or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this insightful episode, Jen and Nick dive deep into the transformative Transparency in Coverage Rule and its ripple effects across the healthcare ecosystem. Through their informed discussion, they unravel how this groundbreaking regulation is reshaping the traditionally opaque world of healthcare pricing, requiring insurers and providers to publicly display previously guarded cost information. Nick and Jen explore the rule's dramatic impact on both sides of the healthcare transaction - from payers scrambling to maintain competitive advantage while publishing negotiated rates, to providers adapting their revenue cycle processes for this new era of price transparency. Their conversation illuminates the potential for patients to become more informed healthcare consumers, while addressing the substantial technical and operational challenges organizations face in achieving compliance. Whether you're a healthcare administrator, insurance professional, or provider working to adapt to these sweeping changes, this episode offers crucial insights into navigating the new landscape of price transparency.

  continue reading

14 episodes

Artwork
iconShare
 
Manage episode 452004662 series 3618808
Content provided by Yan Chow. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Yan Chow or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this insightful episode, Jen and Nick dive deep into the transformative Transparency in Coverage Rule and its ripple effects across the healthcare ecosystem. Through their informed discussion, they unravel how this groundbreaking regulation is reshaping the traditionally opaque world of healthcare pricing, requiring insurers and providers to publicly display previously guarded cost information. Nick and Jen explore the rule's dramatic impact on both sides of the healthcare transaction - from payers scrambling to maintain competitive advantage while publishing negotiated rates, to providers adapting their revenue cycle processes for this new era of price transparency. Their conversation illuminates the potential for patients to become more informed healthcare consumers, while addressing the substantial technical and operational challenges organizations face in achieving compliance. Whether you're a healthcare administrator, insurance professional, or provider working to adapt to these sweeping changes, this episode offers crucial insights into navigating the new landscape of price transparency.

  continue reading

14 episodes

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