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Showing posts with the label HEDIS

One of the ways modern healthcare is shaped by insurance

  People need to be aware of the ways that insurance companies shape how doctors treat people, as it affects their personal care. There are multiple terms and groups that people have never heard of that become important to medical practices and getting paid. Some of the ways that insurance makes demands are common sense, which should make people wonder why doctors are doing certain things. At the same time, the demands raise administrative costs for doctors, while shaping how they can be paid. Quick Disclaimer This article is for education purposes, not as a complaint against any of the people mentioned. It is so that people will know about an important part of their lives. Much of the way that this information was gathered for understanding was by getting to talk with someone who has been an insurance quality professional for almost two decades. Some of it can be disturbing to some, while other parts are just a way for people to gain knowledge.  NCQA and HEDIS One of the grou...