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10 May 2010 | Hospitals & Health Networks

“An experiment under way in California is proving that hospitals and insurers can work together to improve efficiency and the bottom line.

Blue Shield of California and nearly 100 network hospitals for the past year have been engaged in a transparency program that has decreased the number of claims appeals and disputes. Blue Shield's Partnership in Operations Excellence and Transparency Program—or POET—has also resulted in a quicker turnaround time for claims to be paid. Blue Shield now turns around reimbursements on an average of 8.2 days, compared with 10 days prior to POET.”

Source: Transparency Program Helps Insurer, Hospitals Find a Rhythm, Hospitals & Health Networks, May 10, 2010,
http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/04APR2010/1004HHN_Inbox_
Payment&domain=HHNMAG.