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Healthcare continues to feel pressure: financially, operationally, politically, and culturally. Patients are more frustrated than ever with the cost of care and confusing billing practices. Clinicians are stretched to their limits with ever-increasing responsibilities. Payers are on the defense to justify their decisions.
Trust has frayed between all parties.
One particularly dark spot is the relationship between providers and payers. For too long, we’ve considered friction as just a standard part of the industry. But too many aspects of that relationship have gone beyond friction, impacting patients, care teams, and payer operations. From prior authorization requests to post-adjudication recoupments, each interaction carries the potential for inefficiency, delay, or frustration.