Battling Insurers to Improve the Financial Position of Healthcare Providers
Insurance carriers severely underpay non-contracting healthcare providers. This damages the economics of emergent care and reduces long-term access to care.
Allia Group is a unique team of leading finance, legal, medical, and healthcare insurance experts that improve healthcare providers’ financial challenges. We have a 14-year track record based exclusively on the aggressive pursuit of insurance providers, including the largest national carriers, without any patient collection efforts.
Payors will stop at nothing to increase profitability, often at the detriment of healthcare providers. This includes unfair reimbursement for services rendered and unwillingness to play fairly in payor contract negotiations.
Even with the advocacy work done by healthcare providers across the country, health plans still retain an unfair advantage in the payor-provider landscape. The pressure of litigation has the power to compel payors to provide full reimbursements.
Litigation, however, is expensive, and most physician groups, hospitals, and health care providers simply do not have the financial resources, experience and manpower to pursue lawsuits on their own.
Allia Group’s bundled case model democratizes litigation for a wide range of providers, creating a united front. Sharing the cost of litigation in a bundled case between providers alleviates the burden of legal costs.
Our bundled legal finance platform pressures insurers and transforms the leverage from payors to providers. By assigning claims to Allia Group and allowing our litigators to do the heavy lifting, providers can reallocate resources towards patient care.
By facilitating an alliance of healthcare providers and aggregating their claims, Allia Group provides an avenue to influence an industry-wide change in reimbursement behavior
Allia Group’s data analytics experts can target recoverable revenue and help providers secure fair payment for services rendered.
With Allia Group’s purchasing options, upfront purchase payment and continuous purchase payments can be offered while we pursue claims to improve cash flow.
Where the typical revenue cycle stops, Allia Group extends beyond and recovers more from insurers using its litigation finance platform. This complements traditional RCM solutions and facilitates revenue recovery.
Payor contracting directly impacts provider revenue. The pressure of litigation allows providers to gain leverage in payor contract negotiations and potentially return in-network with improved rates of reimbursement.
These legal victories represent significant progress made in the battle against big health insurance.
Allia Group offers various revenue recovery structures which can be tailored to the provider’s needs and the nature of their claims.
Recoverable Revenue Identification
Litigation Funding and Strategy
Litigation Execution
Resolution and Settlement Oversight
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