by Di Simplot | Jul, 2024 | Uncategorized
Part 1: The Current Landscape The remarkable growth in Medicare Advantage enrollment over the past twelve years is raising questions about both the cost and quality of that coverage as well as the ultimate impact on health equity and solvency of the traditional...
by Di Simplot | Jun, 2024 | news
Over the past decade, the healthcare industry has seen payment integrity evolve from an under-resourced operational niche to a strategic asset that is central to the overall management of medical expense. A paradigm shift is underway, wherein many payers are...
by Di Simplot | Jun, 2024 | news
Today’s technology innovations and workforce challenges (need to drive toward greater efficiency) are prompting payers to take a closer look at payment integrity with an eye toward a more strategic framework. More and more payers are recognizing that the status quo...
by Di Simplot | May, 2024 | Uncategorized
Current State of Healthcare Payment Integrity: Article 1 Understanding what healthcare payment integrity entails and why there is renewed interest Payment integrity encompasses efforts on the part of payers and healthcare providers alike to navigate ongoing challenges...
by Di Simplot | Mar, 2024 | news
AI at its core encompasses taking advantage of the rich and diverse sources of information that individuals and health care providers amass across the continuum of health-related behaviors, interactions, and management. Being able to better leverage these stores of...
