APR 21, 2008 11:26am ET

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Hospitals Tackle Payer Contracts

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HealthEast Care System, a four-hospital delivery system in St. Paul, Minn., will use insurer contract management software from Concuity Inc., Vernon Hills, Ill.

The vendor’s ClearContracts application enables providers to analyze claims and remittance data to identify potentially underpaid claims. It also calculates expected reimbursement based on an insurer’s payment rules, or can integrate with another vendor’s calculation engine.

More information is available at healtheast.org and concuity.com.

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A major success factor for accountable care organizations will be linking caregivers across the spectrum of care delivery. If history is any indication, that's going to be an industrywide struggle.

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