Members of the HASC/Blue Shield Claims Adjudication Process Improvement Collaborative presented a “Case Study: A Partnership in Operational Excellence and Transparency (POET),” at the 5th Annual Hospital Health System and Payer Executive Summit, Nov. 7-8.

The presentation, hosted by the World Health Care Congress in Arlington, Va., and themed Optimizing the Revenue Cycle and Billing Process, drew more than 500 health plan and provider representatives and consultants and featured a review of the four-year collaborative effort describing:

• How health plan/provider collaborations improved the claim payments processes, extracted inefficiencies and sped payments using shared data analytics and user accountability for ongoing oversight.
• How HASC was able to accelerate the health plan/provider operational improvements by facilitating an open and transparent interactive work group process.
• Strategies for health plans to broaden their provider network communications in a more standardized methodology given their respective geographic networks and markets.

Contact: George Mack
(213) 538-0717, gmack@hasc.org