PayerView gives you unprecedented access and insight into the current performance of the healthcare payment chain. This first-ever public review is drawn from athenahealth’s industry-leading knowledge and based on the combined efforts of payers and thousands of doctors who use athenahealth’s services. Provider efficiency, knowledge of payer billing, payer payment speeds, denial rates, adherence to Medicare standards – PayerView offers you all this industry-leading knowledge and more. To begin, just use the panel to the right to view the “annual rankings”.
What We Mean By “Payer” & “Performer”
We look to help physicians across the country deal with the daily challenges of running their practices. This is why we launched PayerView – to bring transparency to healthcare and create an industry-wide dialogue on behalf of medical providers. You will be happy to know, we are seeing results – which is what athenahealth is all about. Together, we are making progress.
Todd Park, Co-Founder, athenahealth
Our goal was to rank payers based on how well they worked with us and with our physicians. We avoided anecdotes and impressions and focused on hard data of activity in our systems with the physician and payers with whom we interact. We measured payer performance in seven areas, including:
Together, these measurements represent athenahealth’s opinion of how easy or difficult it was during the data collection period for athenahealth customers to get paid quickly and accurately on claims submitted to the listed payers.
To set overall national and regional rankings, we weighted each measure, placing a priority on fast, complete payment. When claims submitted to a payer were paid quickly and fully, the payer tended to do well in the overall ranking. The weighting reflects our opinion as to the impact each measure has on the ability for athenahealth and its providers to receive payment on claims.
Here’s more detail on the metrics we used: