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GAO Report

Audit: U.S. picks up health-

care tab for private insurers

 

 

Cleveland Plain Dealer

Wednesday, October 18, 2006

Kevin Freking, Associated Press

 

Washington- About 13 percent of Medicaid beneficiaries have private insurance that should pay their health care bills, but that doesn't always happen, congressional auditors said Tuesday. Federal law requires Medicaid, the nation's health care program for the poor, to be the payer of last resort. That means that if a beneficiary has health care coverage from another source, that source should pay before Medicaid does.

Medicaid Reimbursement Conversion

Imagine converting 5-10% of your Medicaid Reimbursement to commercial managed care payers.  At most providers, government reimbursement is half of the payment received from a commercial payer.  Below you will see why:

o        TMP can convert 5-10% of your Medicaid Reimbursement to other payers1

o        How this 5-10%, will effectively double the payment for those claims

o        How this can mean $millions to Net Income

 

For Example:

 

Medicaid Conversion to Commercial Payer Benefit Calculation

 

This hospital's most recent cost reporting period is for the period ending 12/31/2006

Sample 3 Hospital System

 Medicaid Gross Revenue

Hospital A

$23,445,787

Hospital B

$25,632,893

Hospital C

$23,807,000

TOTAL Governmental Programs

$72,885,680

Medicaid Conversion to Commercial Payer

5.0%

   (GAO report indicate up to 17% could convert)

 

Net Improvement in Reimbursement per Claim

100.0%

   (improve payment from 30% to 60% of charges)

 

Net Medicaid ANNUAL Conversion Benefit

$3,644,284 

 

In a recent Government Accountability Office report (GAO-06-862) issued in September, 2006 it concluded that about 13% of Medicaid claims are possibly covered by another payer.  When secondary payers exist and are not found then revenue is not secured from the best source.  This can result in lower Revenues.  By checking all managed care payers for eligibility alternate payers or self pay patients can be identified more accurately, co-pays collected up front.  As this study suggests, Medicaid does not know if the patient has alternative coverage, so just checking with Medicaid will not tell you that alternative coverage exists.

 

By creating a Direct Connection network with your commercial managed care payers, TMP has the ability to automate many functions and transactions that have significant impact on ROI and huge impact on cash flow from operations. This technology-enabled service will allow hospitals to:

·   Check all managed care payers for eligibility via 270/271 transactions

·   Identify multiple insurance payer coverage and respond accordingly

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