Stuck in the middle: studies show growing tension between providers and payers
A growing body of data articulates the frustration healthcare providers have with payers over the growing complications caused by claim denials and prior authorizations by Intelliworx Some 44% of healthcare providers have considered leaving their position as a result of the claim denials. That’s according to a still new survey of 211 U.S.-based healthcare providers we recently published (downloadable PDF version here). Unfortunately, our survey is not an isolated example. Over the last 12 months or so, several other studies have drawn similar conclusions and three of those studies follow below. 1. Providers are “caught in the middle” as denials increase Nearly three quarters (73%) of respondents surveyed by Experian Health said “claim denials are increasing.” More astonishingly, the number jumped dramatically from 42% when compared to the same survey the company fielded two years prior. Even when claims are approved, providers aren’t done as 67% say payers are taking […]