From claims management to cost & risk analytics, this MVP Technology Framework evaluates the tech solutions that healthcare payers use to drive more accurate and timely payments processes.
As factors like an aging population and novel drug therapies reshape the healthcare space, solutions that enable more accurate, timely payment options are crucial for payers looking to protect their bottom line.
Innovative payment integrity technologies are emerging to support the growing demand for healthcare services. These tools help payers process claims more efficiently, guard against waste and abuse, and ensure that their members are getting quality care from the right providers. They can also assist payers as they adapt to new regulations about data interoperability.
This report evaluates 9 tech markets that healthcare payers should monitor, vet, and prioritize.