178 The Information Fertility Payors Need For Reimbursement Increases, Featuring David Stern

Inside Reproductive Health Podcast

English - April 23, 2023 19:37 - 1 hour - 63.8 MB - ★★★★★ - 29 ratings
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Previous Episode: 177 More Than 1 New IVF Center Per Week: India’s 0-40% Fertility Network Market Share Growth

Next Episode: 179 Chat GPT Has Arrived In REI: Conqueror Or Collaborator? With Dr. Ravi Gada and Manish Chhadua

What should you take into consideration when tackling the insurance companies for fertility service reimbursement? This week, Griffin hosts Boston IVF’s CEO, David Stern, to discuss the ins and outs of maximizing insurance reimbursements, and the barriers you may not have considered. Tune in to the latest episode of Inside Reproductive Health to hear more.

Listen to hear:

How to position both insurance companies and employer carve out companies to get better pay out rates

What data you need to share to get the best reimbursement rate.

About the differences in negotiating when it is a global fee vs. different CPT codes and what state mandates do to codes.

David give examples of some mistakes that can happen, ie: money loss, when billing uses incorrect CPT codes.

How Boston IVF negotiated a 67% increase in reimbursements.

About the principle of disruptive innovation, why traditional fertility companies were late to the fertility game, and how others cashed in.