Health care payers and providers will need to change the way they work together in the future. A combination of regulatory, consumer and demographic issues will require payers to form tighter relationships with health care providers in order to be successful. And, as with almost any game-changing scenario these days, technology will be at the forefront.
Many issues are driving this imperative. Medicare modernization has generated a constant stream of modifications to how claims are processed, while Medicare consolidation has created fewer but larger geographical jurisdictions for Medicare contractors to serve. Medicare payers must now engage a larger population of providers, yet have the ability to easily and regularly communicate change to the broader audience.
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