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-provider connectivity progress elusive but possible.

Jeff Goldsmith1

  • 1Health Futures, Inc, Charlottesville, Va, USA. hfutures@healthfutures.net

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|March 4, 2008
PubMed
Summary
This summary is machine-generated.

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

Multilevel functional quantile principal component analysis.

Biostatistics (Oxford, England)·2026
Same author

Spinal cord stimulation for upper limb motor function in people with chronic post-stroke hemiparesis: a feasibility trial.

Nature medicine·2026
Same author

Correcting Measurement Error and Zero Inflation in Functional Covariates for Scalar-on-Function Quantile Regression.

Statistics in medicine·2026
Same author

Oregon's Hospital Rate Cap: A Questionable Measure.

Health affairs (Project Hope)·2026
Same author

Community severance and mental health-related hospital visits in New York City.

Environmental epidemiology (Philadelphia, Pa.)·2026
Same author

Characteristics of Transient Elastography for Hepatic Steatosis and Fibrosis in Children Undergoing Liver Biopsy.

The Journal of pediatrics·2026
Same journal

Highlights from the HFM blog.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

Hospitals face challenges from Medicare cost and payment trends.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

The fate of value-based care with an ACA repeal.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

Beyond the Medicare annual well visit: maximizing revenue for hospital-owned practices.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

Incorporating social determinants into population health management.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

Health Care 2020 Part 3: Consolidation.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
See all related articles

The Health Insurance Portability and Accountability Act (HIPAA) has not simplified healthcare payments. Innovations exist, but Medicare needs improved electronic claims management for easier healthcare payment processing.

Area of Science:

  • Healthcare Administration
  • Health Informatics
  • Health Economics

Background:

  • The administrative simplification provisions of the Health Insurance Portability and Accountability Act (HIPAA) have not effectively reduced the complexity of healthcare payment systems.
  • Existing payer-provider collaborations demonstrate potential for claims management innovation.

Purpose of the Study:

  • To evaluate the impact of HIPAA's administrative simplification on healthcare payment systems.
  • To identify successful models of claims management innovation.
  • To recommend improvements for electronic claims management within the Medicare program.

Main Methods:

  • Analysis of existing literature on HIPAA's impact on healthcare payments.
  • Case study review of organizations implementing claims management innovations (e.g., NEHEN, Availity, United Healthcare Online, AthenaHealth).

Related Experiment Videos

Main Results:

  • HIPAA's provisions have not significantly eased the healthcare payment burden.
  • Payer-provider collaborations have led to some claims management innovations.
  • Electronic claims management remains a challenge within the healthcare industry.

Conclusions:

  • Further reforms are necessary to simplify healthcare payment systems.
  • The Medicare program requires specific changes to facilitate easier electronic claims management.
  • Continued collaboration and technological advancement are crucial for efficient healthcare payment processing.