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-- Decide if health plan language is outdated or ambiguous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:12/7/2016)... Linda, Ca (PRWEB) , ... December 07, 2016 , ... ... attain that funding is with useful, properly analyzed data. The team at Beckman Coulter ... to address the 'need for speed' and the need to operate in a GLP ...
(Date:12/7/2016)... ... December 07, 2016 , ... They are musicians and librarians, ... wives, brothers and fathers, from New England and around the nation. What do they ... are brought together in a beautiful and compelling new photographic exhibit debuting Friday, December ...
(Date:12/7/2016)... ... December 07, 2016 , ... ... consultation services to residents in the Sacramento/Folsom region, is initiating a charity event ... , The Another Choice Another Chance treatment center in Sacramento works to provide ...
(Date:12/7/2016)... ... 07, 2016 , ... A. Kevin Spann Insurance, a New York-based firm offering ... is launching a charity drive to raise funds that will benefit the Marine Corps ... marines and Navy FMF Corpsmen. Working closely with the MCL, the A. Kevin Spann ...
(Date:12/7/2016)... ... December 07, 2016 , ... Facial plastic surgeon, Dr. John D. Rachel ... a portion of proceeds to two local organizations: North Chicago Animal Control and Friends ... is a team of authorized and trained volunteers who support rescued animals held ...
Breaking Medicine News(10 mins):
(Date:12/7/2016)... 7, 2016  Urinary catheters are used for ... other urological disorders. Urinary catheters include indwelling (Foley) ... Indwelling or Foley catheter is a flexible tube ... catheter is inserted into the bladder through the ... balloon attachment at one end of the catheter ...
(Date:12/7/2016)... YORK , Dec. 7, 2016 Global ... This report on the global hospital linen supply and ... of this market on a global and regional level. ... forecast for the period between 2015 and 2024 based ... the dynamics of the market along with their impact ...
(Date:12/7/2016)... , Dec. 7, 2016 A new investigational drug ... human clinical trials in search of the world,s first treatment ... publication of research findings today in the journal ... will be a watershed moment for millions of people living ... director of Van Andel Research Institute,s Center ...
Breaking Medicine Technology: