Quote:
Originally Posted by BrianL99
Call me crazy, but if no one understands how billing and payments actually work, how does anyone have an opinion on who's getting pork'd and how?
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That sums it up pretty concisely.
The public does not have TVH contracts to say how TVH finances actually work and many posts are mostly BS.
I subscribe to a specialized AI platform for deep research. I had it write a report on Medicare Advantage micro economics from CMS to MA plans to MA clinics. The document is long and dense for two reasons. The government's MA program is complicated and, second, for clinics, MA micro economics depend on their particular contracts with MA insurance plans. Contracts differ. If you have seen one contract, you have seen one contract.
Below is a link to the report on Medicare Advantage micro economics from CMS to clinics (providers). Again, it's long and dense. Happy reading. There will be a quiz next Friday.
Dropbox