Health plans today are operating on razor thin margins. In order to stay competitive, they are challenged to find new savings opportunities at every turn. Payer leaders need to look internally at how their existing organizations and processes are performing, or underperforming in some cases.
How siloed are your current payment integrity efforts? Think your organization has achieved maximum claims accuracy results with your current PI model? Challenge yourself to disrupt the status quo and consider how evolving to a mature PI strategy can take your organization to the next level. With maturity comes value and most mature payment integrity models share core common traits. Read and listen to learn more about the real savings opportunities that can be uncovered when you take a hard look at your existing payment integrity strategy and realize how beneficial making a shift left can be to your organization. See what actions both Gartner and Optum recommend taking in order to mature your strategy and improve payment integrity results. See the benefits of a mature model now.
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