Payment integrity (PI) has emerged as a strategic imperative for healthcare payers facing mounting financial pressures. Despite advanced claims systems, errors persist at rates of 3% to 5%, resulting in losses that can reach hundreds of millions annually. Learn about the critical role of PI in safeguarding financial health and operational efficiency and the ongoing industry debate between prepay methodologies.

Technological innovation is central to PI advancement. Organizations that invest in these technologies gain a competitive edge. The financial stakes are high: even a 95% accuracy rate leaves room for billions in overpayments. By embracing automation, rigorous audits, and balanced prepay-post-pay practices, payers can recover lost revenue, strengthen efficiency, and maintain stability in an evolving healthcare ecosystem.

Read the article featuring Bob Starman, Senior Vice President, Senior Vice President of payment integrity services at Sagility, at DOTmed HealthCareBusiness News, The crucial role of payment Integrity in healthcare or at Insights > Blog