The State of Wisconsin will transition with implementation of Family Care IRIS 2.0 in to an Insurance Plan Administered Model. The new Family Care IRIS 2.0 will include long term care, primary care, and acute care benefits.
The risk is related to network adequacy, care assurance, and managing unexpected insurance fees.
Unexpected insurance fees occur when contracted providers use non-contracted services in the necessary care for the beneficiary.
This aspect of care delivery can push an increased cost of placing a proper claim with the insurance plan on to the provider. Larger medical providers unable to be reimbursed in a timely fashion will stop service creating a gap.
This gap requires the family and patient to participate in an alternative approach to get their needs met. Gaps in areas dense with Family Care IRIS 2.0 beneficiaries is described as an under served pocket. This is typically an area where the participating providers are not reimbursed for submitted claims in a timely fashion.
From a care coordinators view this will be a predictable occurrence with the State wide roll out of the new Family Care IRIS 2.0. Home Care Path invites readers to watch as the changes occur with the New Family Care IRIS 2.0 programming.
Wisconsin Credit Repair Nerds delivers a service that fixes an individuals credit report to improve their borrowing outcome. Wisconsin Credit Repair Nerds works with the information on file to improve the presentation of an individuals credit report.
This simple link facilitates immediate access to a trusted credit repair service
https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx
Nerds Provides:
- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff
: lkutzke.crn@gmail.com
For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment