The report rates payers, both government and commercial, on financial performance, administrative performance, transaction efficacy and level of ease to work with. Athenahealth’s cloud-based software aggregated the results from 40,000 providers, 83 million charge lines and $15 billion in charges.
Findings included:
• Despite some improvements, Medicaid underperforms in key metrics, such as days in accounts receivable.
• Providers struggle to collect full reimbursement, and six major payers returned correct co-pay information less than 50 percent of the time.
• 17 percent of payers received the highest score for administrative burden and transparency; 40 do not have any clear information available
• 65 percent of payers require transactions to be conducted by fax or mail.
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