Subrogation Solutions: Generating $3B in recoveries for a top health plan
Turn missed opportunities into substantial recoveries with minimal member abrasion.
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Payment Integrity
Payment Integrity
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Subrogation gone wrong: The hidden financial exposure in self-insured programs
In today’s environment, every dollar matters. Subrogation, when managed strategically, returns real value with minimal risk. But when mismanaged, it quietly erodes the financial performance.
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The future of claims automation
AI-powered automation is unlocking a smarter, faster and more transparent approach to claims management. From faster processing and reduced costs the benefits of claims automation are measurable.
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Pharmacy audits uncovered: Are pharmacy benefit managers doing enough?
Pharmacy Benefit Managers (PBMs) play a crucial role in overseeing prescription drug spending, ensuring that claims are accurate and preventing fraud, waste and abuse.
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Three strategic guideposts for health plans in the fast-paced digital age: Part 3 – Payment Integrity Solutions
Now, in part three, we set our sights on the guidepost that illuminates the path forward to business sustainability: payment integrity.
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Uncovering hidden capital: Why specialized technology and expertise are key
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Recovering millions for a nationwide payer
Recovering millions for a nationwide payer
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Case study: 24+ years of partnership with a major health plan leads to billions in recoveries
Recover more overpayments and improve the bottom line through our long-standing alliance with providers.
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Stopping the emergency department payment hemorrhage
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