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2. Anthem PPO currently pays St. Elizabeth for inpatient behavioral health cases using a case-rate methodology; as such, regardless of how resource-intensive, labor-intensive, or long
2. Anthem PPO currently pays St. Elizabeth for inpatient behavioral health cases using a case-rate methodology; as such, regardless of how resource-intensive, labor-intensive, or long a patients stay is, St. Elizabeth is reimbursed a flat $6,000 rate for the stay. St. Elizabeth would like to propose a revenue-neutral per-diem rate to be paid as a flat amount for each day of the patients stay.
Why would St. Elizabeth propose such a change? Why would Anthem prefer not to change?
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