Infographic: Top 5 Payment Integrity Trends
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Explore key priorities, investments, and challenges facing health plan executives in the coming year.
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As the environment for health plans evolves rapidly, now is the time to modernize CAPS to enhance your ability to compete for members, improve effciencies, and maintain compliance.
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Introducing Advanced Custom Edits from HealthEdge Source™, a new feature designed to expedite and streamline the claims editing process.
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Engage and delight members with a personalized digital experience.
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Experts in managing complex CMS data for over 25 years. Partnering with top payers for 10+ years.
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The implementation of the No Surprises Act (NSA) has significantly transformed the healthcare landscape, particularly in how health plans manage regulatory mandates and ensure member satisfaction.
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EditingHealthEdge® listed as a Representative Vendor in the 2023 Gartner® How U.S. Healthcare Payer CIOs Can Future-Proof Claims Editing report.
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Prioritizing member satisfaction is vital for health plans to succeed in today’s highly competitive and rapidly changing landscape.
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New research reveals misalignment of vendor incentives and departmental objectives are key barriers to meaningful progress in payment integrity improvement efforts.
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HealthEdge recently commissioned independent research firm In90group Research to survey more than 100 health plan leaders regarding the current state of payment integrity and what they hope to achieve
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GuidingCare® delivers more than just software. The GuidingCare team brings unmatched clinical expertise to ensure your care management platform and programs truly advance clinical..
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This infographic sheds a light on the key benefits GuidingCare has to offer- and what makes us different; from clinical expertise and operational efficiency to ease.
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