Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Payer segmentation: how to respond.

J L Bare, A I Bess

    Health Care Strategic Management
    |June 8, 1989
    PubMed
    Summary

    Hospitals must track payer reimbursements to ensure profitable services remain so, especially with rising fixed-rate negotiations. Regularly analyzing payer mix is crucial for financial health and avoiding losses from underperforming services.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Model provides structure for strategy development.

    Health care strategic management·1991
    Same author

    Hospital portfolio analysis.

    Health care strategic management·1990
    Same author

    In vitro estimates of biological potency of equine antihuman thymocyte globulin (ATGAM).

    Transplantation proceedings·1989
    Same author

    Tradescantia-Micronucleus (Trad-MCN) tests on 140 health-related agents.

    Mutation research·1984
    Same author

    Tradescantia-Micronucleus (Trad-MCN) test on the genotoxicity of malathion.

    Environmental mutagenesis·1983
    Same author

    [Influence of wakefulness upon enhancement by cocaine of the hypertensive effects of catecholamines].

    Archives internationales de pharmacodynamie et de therapie·1970

    Area of Science:

    • Healthcare finance
    • Hospital revenue cycle management
    • Payer contract analysis

    Background:

    • Hospitals face increasing pressure from payers negotiating fixed reimbursement rates.
    • Understanding payer mix is essential for maintaining financial viability.

    Purpose of the Study:

    • To highlight the critical importance of analyzing payer composition for hospitals.
    • To emphasize the need for routine assessment of payer reimbursements.

    Main Methods:

    • Analysis of payer reimbursement data.
    • Assessment of service line profitability based on payer mix.

    Main Results:

    • Identifying which payers contribute most to profitable services.
    • Pinpointing services that incur losses due to payer reimbursement rates.

    Conclusions:

    • Routine payer composition assessment is vital for hospitals to ensure profitability.
    • Proactive financial management through payer analysis mitigates risks associated with fixed-rate contracts.

    Related Experiment Videos