Allia Group

ECURE Health is now Allia Group. Why the name change? We wanted our name to be equally as powerful as the work we do. Read the story below to learn more. How did Allia Group get its name? Let’s travel back in time over 5,000 years to Ancient Rome, where a major battle at the Allia River between the powerful city-state and the much smaller Gaul army of Italy changed the course of history forever. This Roman defeat at the Allia River had a profound impact on their military—what Rome won in over a hundred years was lost in a single battle. This battle is similar to the one being fought today. For years, insurance carriers have built an empire while severely underpaying healthcare providers. What insurance carriers have amassed in power, Allia Group counteracts, balancing the scales by creating power in numbers and defeating these insurance goliaths. Read the full story: https://lnkd.in/gTzQqBzm #healthcare #healthinsurance #outofnetwork #revenuerecovery #revenuecyclemanagement #emergentcare #capitalsolutions #healthsystems #alliagroup

The Justice Department is pushing back against UnitedHealth Group’s $3.3B acquisition of Amedisys, citing concerns about its potential to harm competition in home health and hospice care.?This latest move from the DOJ emphasizes how consolidation can give mega-insurers unchecked power—power that squeezes out competition, limits patient choice, and undermines providers’ leverage in negotiations. In an industry already dominated by a few key players, allowing this merger would deepen the imbalance, leaving providers to battle even tougher odds for fair reimbursement. We must demand a system that values access to quality patient care over monopolistic control. https://lnkd.in/e-iUeHrB #HealthInsurance #PayerMonopoly

Can your team effectively handle payer “shenanigans?” In our most recent episode of The Strain podcast, Jennifer Brown highlighted key strategies for tackling payer bad behavior, including: 1?? Airtight Documentation 2?? Persistent Monitoring 3?? Proactive Communication Watch the full episode: https://lnkd.in/eCs_2Mn9 Listen wherever you get your podcasts!

Healthcare providers: Is the IDR process or litigation the right revenue recovery strategy for you? The short answer is that, when used in conjunction correctly, both can provide an effective pathway to revenue recovery for out-of-network insurance underpayments. However, IDR can come along with some challenges which litigation has the power to solve, including narrow claim scopes and heavy administrative burden. Learn how the two can empower your revenue recovery and RCM strategies in our latest blog: https://lnkd.in/eckaWjcd #RevenueRecovery #HealthcareLitigation #RCM

Progressive Emergency Physicians General Counsel Jennifer Brown has mastered the IDR process in the fight to secure fair #reimbursements for providers— even negotiating with payers to keep contracts in place and rates reasonable. In this clip from our podcast The Strain, she shares her approach to tackling the complex regulations of the #NSA and pushing back against payer underpayments. Learn how persistence and strategy make all the difference in healthcare revenue recovery. To watch the full episode, visit https://lnkd.in/eFmd6zZ4

???????????????????? ??????????????????: ?????????? ???? ?????????? ???????????? ???????? ?????? ?????????????????????? ?????? ???????? ???????????? ???????????????????? ????????? As denials increase at an alarming rate, 77% of providers report they are moderately to extremely concerned payers won’t ultimately foot the bill for healthcare as promised. (source: Experian Health) Do you know another payer who’s notorious for denying claims? Leave us a comment! #denials #healthinsurance

Physician and hospital groups are voicing frustration after a Texas court ruled that decisions under the #NoSurprisesAct (NSA) are “unenforceable,” leaving providers without recourse to collect payments they are owed from insurers. This ruling means even if providers win disputes through the Independent Dispute Resolution (#IDR) process, insurers are not obligated to pay in the state of Texas. Without enforcement, the IDR process will become useless, as insurers will lack accountability for paying awarded amounts.? No source of recovering on insurance underpayments can lead to? reduced access to critical care, especially in rural areas Congress must implement enforcement provisions to ensure fair #reimbursement and preserve the integrity of the IDR process. These legal mechanisms are crucial. Without them, insurers will continue to line their pockets with providers’ deserved revenue. For more information, visit https://lnkd.in/eQc_ixpS

Welcome back to The Strain! The newest episode of #podcast The Strain: Winning the Battle with Big Health Insurance features #NoSurprisesAct expert Jennifer Brown, General Counsel for Progressive Emergency Physicians. Take an inside look at how Jennifer achieves success in #IDR, securing in-network contracts and managing payer disputes effectively. Her actionable advice and exclusive insights make our newest episode a must-watch for #healthcarefinance, payor contract negotiations, #emergencymedicine, #RCM, and #litigation industry specialists alike. Watch the new #NSA episode by visiting https://lnkd.in/evT7P2zv

The Healthcare Justice Coalition, an organization which collaborates with #HealthcareProviders to ensure fair payment from #HealthInsurers, filed a lawsuit in Ohio state court on January 30th, 2024 against Aetna to pursue payment for services owed to #EmergencyDepartment physicians. Aetna attempted to remove the case based on three arguments: the #NoSurprisesAct (#NSA), #ERISA, and diversity jurisdiction. However, the judge rejected all of Aetna's arguments and remanded the case back to Ohio state court. Key points from this case: ??The court rejected Aetna's NSA interpretation, stating the NSA lays out an optional #IDR process that defers to state law for payment disputes. ??ERISA preemption was dismissed as irrelevant since claims were for payments to providers, not patients. ??Aetna’s argument that Meritain, the health plan administrator, wasn’t an insurer was rejected, with the court concluding Meritain had obligations for the services provided. This allowed HJC to defeat diversity jurisdiction. We believe the specific decision regarding the NSA is highly remarkable—while this was a position the plaintiff had maintained from the beginning, we have not seen any decisions with this level of clarity directly on point.? This ruling is a battle won for #EmergencyPhysicians in the war to hold big #HealthInsurance accountable. It is a reminder that deference to state law is achievable when pursuing this type of litigation #HealthcareLitigation has the power to systemically level the playing field by challenging entrenched practices. Please reach out to schedule a consultation to learn how Allia Group’s novel platform can empower #RevenueRecovery.??

?????? ???????????? ???? ??????????????????! We’re excited to introduce Jennifer Brown, General Counsel at Progressive Emergency Physicians, as our upcoming guest on our vidcast, The Strain: Winning the Battle with Big Health Insurance. In our newest episode, Jennifer reveals the intricacies of the NSA’s IDR process. Candid insights on navigating insurer disputes and overcoming systemic challenges make this a must-watch episode for healthcare providers and industry leaders. Don’t miss the full episode dropping soon! ?? ?????????????????? ?????? ???? ?????? ??????’?? ???????? ?????? - ???????????????? ?????? ?????? ???????? ????????????????! #HealthcareFinance #NSA #IDR #HealthcarePodcast #HealthcareLaw