Smart Benefits: How RI Physicians Rate Local Insurers
Monday, October 22, 2012
How much does this fact impact physicians’ opinions of Rhode Island insurers? In the recently released 2012 Provider Survey, courtesy of the Office the Health Insurance Commissioner, providers were asked to describe their administrative burden and rate their experience with provider relations, payment adequacy, and administrative simplicity with BCBS-RI, Tufts Health Plan and UnitedHealthcare.
Following are some key highlights of the results:
General Experience. In terms of overall experience, physicians ranked BCBSRI tops, followed by Tufts, then UHC. While the scores were on the low side overall, they represented the best scores for all three carriers since the survey began in 2009.
Payment. Just 22 percent of physicians rated their satisfaction with payment as good or very good. On this question, they were more satisfied with BCBSRI (30 percent said payment was good or very good) followed by Tufts at 20 percent and UHC at 11 percent.
Claims Processing. Physicians felt the carriers were better with the accuracy than the simplicity of claims processing. Again, BCBSRI rated tops, followed by Tufts and UHC.
Administrative Burden. Sixty-two percent of providers reported that the carriers later approved claims they initially denied – more than 40 percent of the time.
Health System Improvements. When it comes to the insurers’ efforts to promote improvements in the state’s healthcare system, BCBSRI received the best score, followed by Tufts then United.
Want to read more provider feedback? Visit www.ohic.ri.gov for the full survey results.
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