Patient Satisfaction Surveys, Anticipated Trends for Payer Contracts

Patient Satisfaction Surveys: Why a Practice Needs to Consider Implementing

As healthcare reimbursements move toward one that values performance and outcomes, using patient surveys will become an important aspect of measuring a practice's performance. Even such programs like NCQA recognition is heavily weighted on the patient experience, and more initiatives will follow.
Practices need to understand what their patients are going through and make adjustments to help improve. Patient satisfaction will have an impact on MIPS reporting - specifically the clinical practice improvement activities, but more importantly a patient satisfaction survey will give the patients a voice.
Patient satisfaction surveys are aimed to:
  • Alert a practice if any unusual shifts are seen - both positive and negative
  • Evoke discussion, especially among staff and providers
  • Analyze trends in your practice, and
  • Uncover answers

To read more, see here.

Trends Anticipated for Payer Contracts

As reimbursement models for healthcare change, contract language and requirements are expected to follow suit. Understanding what these changes may be is important to a practice's revenue stream, so the practices can make adjustments to finances and fees schedules as the changes are implemented.

Anticipated trends include:
  • Medicare and commercial payers will continue to integrate performance-based metrics, shifting a great percentage of reimbursement to quality and costs
  • Payers will limit or reduce referrals to outside providers who are not a part of their network, which will include facilities and ancillary providers like labs or radiology services
  • The number of ACOs and the number of patient lives covered under them is expected to grow
  • Higher deductibles will lead to practices requiring a better system for patient collections in order to receive full payment for services
  • Telemedicine is expected to gain traction among commercial payers. Practices should be investigating those codes
  • Continued mergers and acquisitions will accelerate in the provider sector
  • Networks will continue to narrow or even close as payers try to maintain costs
  • There will be a greater dependency on technology for care delivery, documentation and reimbursement.

Practices should be reviewing their contract renewals with payers and fee schedules, while looking at the trends to find opportunities to head off any possible reductions in reimbursements. Analyzing payer reimbursements and the practices' top CPT codes will help practices understand where their most revenue is acquired.

Information from this article was taken from an InfoDive webinar "Contract and Reimbursement Analysis".

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