The American Medical Association reported that the number of medical claims paid inaccurately by the nation’s major private health insurers fell by half this year. This has led to an increase in health system savings of $8 billion. The report held that most of the saving was derived from a decrease in administrative work to fix mistakes.
The National Health Insurer Report Card offers an annual “checkup” for health insurers and inspects the strength and weaknesses of the systems they use to administer and pay medical claims.
The AMA has been working beneficially with insurers, and has received encouraging response to their anxiety regarding errors, incompetence and waste that for which patients and physicians have to pay heavily.
The study establishes that the error rate for paid medical claims came down from 19.3 percent in 2011 to 9.5 percent in 2012. The AMA report, basically examining the quality of insurer practices, is what insurers have been pursuing to examine the quality of provider care. Other findings revealed that the insurers are responding faster to medical claims and are more transparent about their rules on medical claims but that they are also refuting more claims.
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