AAH to launch Payer Transparency Portal
By HME News Staff
Updated 9:09 AM CST, Mon December 16, 2024
WASHINGTON – AAHomecare has announced a new benefit for its HME provider members in 2025: the Payer Transparency Portal.
The association says the portal will provide:
- Nationwide payer insights: Tap into data from more than 60 major commercial insurers to understand reimbursement trends and payment rates.
- Competitive benchmarking: Compare your reimbursement rates to those of your peers and competitors.
- Smarter negotiations: Leverage detailed data segmented by payer, geography and billing codes to advocate for fair, competitive rates.
“AAHomecare has been working on this new benefit for over a year with a goal to help elevate the conversations providers are having on contract negotiation with payers,” explains Laura Williard, senior vice president of payer relations for the association. “Being armed with this information can help you make more informed decisions with the published facts around reimbursement rates.”
CMS’s “Data Transparency in Coverage Final Rule” requires group health plans and commercial payers to disclose pricing information for covered items/services, but AAHomecare says the portal makes it easier to access and consume that data.
The association is hosting a free webinar on Jan. 30 to walk members through the portal and show how it can support their reimbursement strategy.
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