JUNE 12, 2023 –
Hospital Price Transparency and Insurance Appeals Strategies
During this monthly Community Conversation, we had a short portion of our program focus on Public Health Updates facing our country, followed by a program targeted at providing credible, timely and actionable information on a topic related to health advocacy. We welcomed Mike Gartner, founder of Persius, a website under development to help resolve coverage denials and make denial data more transparent. During this call, we learned a step-wise approach to insurance appeals for cases that are by contract inappropriate denials; learned how to find pricing that is required by law; received a list of resources for price aggregation with identified pros and cons of existing databases from which the data is currently pulled.
Resources:
Speakers –
Mike Gartner is a machine learning engineer, and the founder of Persius LLC. He has extensive experience navigating billing and insurance issues in US healthcare, and in conducting research in machine learning and mathematics. He earned a PhD in mathematics from the University of Oregon, an MS in physics from UCSD, and a BS from Columbia University.
Dale Reisner, MD, Healthcare Quality Improvement Consultant and former Medical Director (OB/GYN Quality and Safety) at Swedish Health Services.