McKinsey & Company: Private Payers

Private payers are private insurance companies that offer different health plans to cover and pay for medical services. Payers are responsible for processing patient eligibility, enrolment, claims, and payment. Some private payers provide health plans that allow patients to visit a specialist directly. In contrast, other plans require patients to see a primary care doctor first and then get a referral to visit a specialist.

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3 Ways Real-Time ADT Notifications Will Benefit Payers’ Businesses

But inadequacies in current payer/provider communication often disrupt the flow of timely care and lead to unnecessary hospital readmissions and poor outcomes. With real-time admission, discharge, and …

Posted Jan 14, 2022 Patient Discharge Discharge And Reduced Admission Private Payers