Navigation Links
Independent Review Organizations Poised to Help Reduce Rising Healthcare Cost
Date:2/4/2008

LANSDALE, Pa., Feb. 4 /PRNewswire/ -- According to the National Coalition on Health Care, the increasing cost of health care outstrips both wages and inflation. Each year premiums rise at almost double-digit rates. If this continues, healthcare costs will rise from five percent of the GNP to 13 percent by 2050.

Within the healthcare industry, independent review organizations (IROs) offer hope for reducing healthcare costs. IROs act as third-party medical review resources providing unbiased medical opinions to support effective decision making for health plans and other payers. Basing decisions on medical evidence and the detailed facts in each case, IROs deliver conflict-free decisions that help clinical and claims managers allocate healthcare resources better and reduce waste.

"We believe IROs play a key role in reducing healthcare costs," said Joyce Muller, NAIRO president. "While they are little known, IROs exist to assure that people paying for health care get what they've paid for and health insurers only pay for medically necessary treatments."

This election year candidates from both parties are proposing solutions to the healthcare problem. "Greater attention is focused on keeping the escalating costs of healthcare down, and the effective use of IRO's contribute to that," Muller said.

IROs can help health plan providers and payers reduce costs by assisting with decisions like these:

-- Ensure compliance with state mandates for appeals and medical necessity

denials

-- Help payers meet Dept. of Labor (DOL) and Employee Retirement Income

Security Act of 1974 (ERISA) compliance guidelines

-- Determine when a treatment is needed medically

-- Decide whether a treatment is experimental based on the latest medical

literature

-- Decide if health plan language is outdated or ambiguous

-- Investigate fraudulent claims

-- Explore patient safety and quality-of-care issues

-- Reduce liability by using external, board-certified doctors in the same

field as original providers

-- Help payers standardize medical criteria for pre-authorization

-- Improve member satisfaction by providing unbiased, external opinions

-- Eliminate conflict-of-interest concerns

About NAIRO

Formed in 2000, NAIRO works to promote the value and integrity of the independent medical review process, as a key part of the solution to America's healthcare crisis. Its members embrace an evidence-based approach to independent medical review to resolve coverage disputes between enrollees and their health plans. For more information visit http://www.nairo.org.


'/>"/>
SOURCE NAIRO
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. Renaissance Health Publishing, LLC Warns the Public that ConsumerLab.com is Not Independent and Labels the CL Seal of Approval a Worthless, Paid-For Advertising Gimmick
2. PCMA: New CBO Analysis Confirms Independent Pharmacy Collective Bargaining Legislation Increases Costs for Consumers and Payors
3. PCMA: New Study on Independent Pharmacy Reimbursements Will Raise Eyebrows on Capitol Hill
4. WuXi PharmaTech (NYSE: WX) Mourns the Tragic Loss of Its Independent Director Shawn Wang
5. China Sky One Medical Appoints Independent Auditor
6. AMA Commends Independent Health for Joining Industry Shift on Physician Performance Measurement
7. PCMA Launches New Print Ad Campaign Highlighting Costs Associated With the Independent Drugstore Lobbys Agenda
8. In Progressive Move, 21st Services Forms Independent Medical Advisory Board to Study Longevity, Mortality Risk
9. Nastech to Establish Subsidiary, MDRNA, Inc., as an Independent Company to Focus on the Development of RNA-Based Therapeutics
10. DaVita to Open First Independent Dialysis Clinic in Fargo-Moorhead
11. Medical Services Receives Independent Test Results
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... RIDGE, N.J. (PRWEB) , ... October 13, 2017 , ... ... annual Holly Day Market. Featuring a collection of specialty vendors and unique items from ... of personalized and quality-focused health and wellness services offered by the VNA. The ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, ... lowdown on sciatica in a new episode of "Success Files," which is an ... and innovation and investigates each subject in-depth with passion and integrity. , Sciatica ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... for healthcare compliance program management, will showcase a range of technology and learning ... Assisted Living (NCAL) Convention and Expo to be held October 14–18, 2017 at ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... IsoComforter, Inc. ... products, announced today the introduction of an innovative new design of the shoulder pad. ... so you get maximum comfort while controlling your pain while using cold therapy. By ...
(Date:10/12/2017)... LOS ANGELES (PRWEB) , ... October 12, 2017 ... ... of Parsa Mohebi Hair Restoration, has recently contributed a medical article to the ... doctors, on cosmetictown.com. Dr. Mohebi’s article spotlights the hair transplant procedure known as ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... -- NDS received FDA 510(k) clearance in May 2017 for its highly ... designed for endoscopy environments. An innovative secondary monitor solution, ZeroWire ... support the improvement of patient outcomes, procedural efficiency, and the lowering ... ... ...
(Date:10/7/2017)... , Oct. 6, 2017   Provista, a ... than $100 billion in purchasing power, today announced a ... information. The Newsroom is the online home ... trends, infographics, expert bios, news releases, slideshows and events. ... to a wealth of resources at their fingertips, viewers ...
(Date:10/4/2017)... 2017  South Korean-based healthcare product Development Company I.M. ... on Kickstarter. The device will educate the user about ... better efficiency compared to the dated and pricey CPR ... efficacy of the compression for a more informed CPR ... to raise $5,000. ...
Breaking Medicine Technology: