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SecureTransport Whitepaper

Insurance Claims Processing in the HIPAA Era

The cost of healthcare in the U.S is rising. Estimates suggest that health plan rates increased 11 percent from 2000 to 2001 as compared to 9.8 percent from 1999 to 2000 and 7.5 percent from 1998 to 1999 (Source: Watson Wyatt, a Maryland-based benefits consulting company and the Henry J. Kaiser Family Foundation). Additionally, health plans must contend with the managed care backlash from both the media as well as consumer advocates. Managed care, once considered a white knight for controlling costs, has not lived up to expectations. Complaints due to cost increases are further compounded by the fact that plan members are increasingly dissatisfied with lack of choice, access to providers, and quality of healthcare.

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