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Medicaid is Toughest Insurer for Providers

Medicaid is the hardest insurer for providers when it comes to billing.

Or so reports a new study published in the journal Health Affairs.

According to this analysis, Medicaid claims take longer to file, are more likely to be rejected, more likely to be challenged, and take longer to be paid than Medicare and private insurance claims.  While the biggest problem is Medicaid fee-for-service claims, even Medicaid managed care claims pose more problems than Medicare and private insurance claims.

This can pose a special challenge to Pennsylvania safety-net hospitals because they care for so many more Medicaid patients than the typical hospital.

Learn more about the challenges providers face when working with Medicaid in the Health Affairs report “The Complexity Of Billing And Paying For Physician Care” or see this Healthcare Dive summary of the study.

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