athenahealth has released the 2015 edition of its PayerView report. Here are the top five players by payer type.
Payers were ranked based on metrics such as days in accounts receivable, claim resolution rate, denial rate and more.
Overall top performers
• Health partners
• Group Health Cooperative
• Humana
• BCBS-WA Regence
• Maryland Physicians Care MCO
Commercial and major payers
• Humana
• Aetna
• Cigna
• Medicare-B
• Champus-Tricare
Blues/regional payers
• BCBS-WA Regence
• BCBS-MA
• BCBS-LA
• BCBS-PA Capital Blue Cross
• BCBS-NC
Medicare payers
• Medicare B-WA
• Medicare B-GA
• Medicare B-NC
• Medicare B-AL
• Medicare B-TN
Medicaid state payers
• Medicaid-OH
• Medicaid-CT
• Medicaid-IL
• Medicaid-VA
• Medicaid-LA
Medicaid payers overall
• Tufts Health Public Plans
• CoventryCares
• Select Health of SC
• Medicaid-OH
• Boston Medical Center-Health Net