Athenahealth Report: 40% Payers Lack Transparency, Increase Administrative Burden to Providers

Watertown, Mass.-based athenahealth made public its 2013 PayerView Report, an annual quantitative guide to provider-payer relationships that is based on athenahealth's cloud-based data. The report rates payers, both government and commercial, on financial performance, administrative performance, transaction efficacy and level of ease to work with. Athenahealth's cloud-based software aggregated the results from 40,000 providers, 83 million charge lines and $15 billion in charges.

Findings included:

•    Despite some improvements, Medicaid underperforms in key metrics, such as days in accounts receivable.
•    Providers struggle to collect full reimbursement, and six major payers returned correct co-pay information less than 50 percent of the time.
•    17 percent of payers received the highest score for administrative burden and transparency; 40 do not have any clear information available
•    65 percent of payers require transactions to be conducted by fax or mail.

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