By Staff Reporters
***
***
What is health plan network steerage?
Network steerage is the practice of directing employees and members on your benefits plan to in-network doctors, hospitals, and other points of care. A network steerage strategy is crucial for healthcare payers who are looking to tackle high healthcare costs. An admirable goal.
CITE: https://www.r2library.com/Resource/Title/0826102549
***
But, what is steerage – really?
The Centers for Medicare & Medicaid Services has raised concerns about a hospital practice known as “steerage”–which involves a provider buying commercial insurance coverage for patients who are already eligible for Medicare or Medicaid coverage in order to obtain higher levels of reimbursement.
IOW: The plan charges a fixed monthly fee so its members can receive health care. There will be a small co-payment for each doctor visit; however with the HMO, fees can be fore-casted unlike a fee-for-service insurance plan. Although freedom of choice is given up, out-of-pocket expenses are very low.
RELATED CONCERNS: https://www.fiercehealthcare.com/finance/cms-looking-for-data-practice-steerage-hospitals-voice-concern
***
***
YOUR COMMENTS ARE APPRECIATED.
***
***
Thank You
***
Filed under: Ethics, Glossary Terms, Health Insurance, Health Law & Policy, Healthcare Finance, iMBA, Inc. | Tagged: health insurance steerage, health network steerage, health plan steerage, skinny networks |
Leave a Reply