The majority of the health care practice I have worked for had a payer mix. They accepted Medicaid, Medicare, Managed Care Plans that included HMO, PPO, POS, and self pay. The majority of the patients were under a managed care plan at least 65% of the patients were under this plan. Another 20% were Medicaid, the other 15% was split between Medicare and Self-Pay. The company felt they were not making enough revenue considering that Managed Care Plan was introduced and they were seeing more patients. After having a bad year financially, the owner of the practice decided to monitor the reimbursement for each Payer for at least 6 month. They discovered that Managed Care Plan specifically the HMO’s were paying them very little in comparison to
