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How to work with insurance companies.

Joel M Kaufman¹

¹Department of Neurology, Rhode Island Hospital and The Warren Alpert Medical School of Brown University, Providence, RI.

Neurology. Clinical Practice

|February 15, 2018

Summary

Neurologists can improve practice success by building strong relationships with insurance companies and payers. This article outlines key entities to engage with and effective strategies for successful collaboration.

Area of Science:

Healthcare Administration
Medical Practice Management

Background:

Effective collaboration between medical practices and payers is crucial for financial stability.
Navigating relationships with insurance companies presents challenges for many neurology practices.

Purpose of the Study:

To identify key insurance companies and other payers that neurology practices should engage with.
To underscore the importance of developing and maintaining ongoing relationships with payers.
To present actionable strategies for successful payer engagement.

Main Methods:

Review of best practices in healthcare payer relations.
Analysis of successful strategies employed by various neurology practice types.
Identification of essential payer entities for practice engagement.

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Main Results:

Successful practices actively cultivate relationships with specific insurance companies and payers.
Ongoing communication and strategic engagement are vital for optimizing revenue cycles.
Diverse strategies exist for different practice settings to enhance payer interactions.

Conclusions:

Proactive and strategic engagement with payers is essential for the financial health and operational success of neurology practices.
Developing strong, collaborative relationships with insurance companies benefits all practice settings.
Implementing tailored strategies can lead to improved outcomes in payer negotiations and reimbursements.