Healthcare payers are under more pressure than ever to create quick, accurate payments to healthcare providers. This market map looks at the companies helping payers create smooth, efficient payment processes to maintain a stable bottom line.
Demand for healthcare services is rising rapidly due to aging populations, new drug therapies, surgical tech moving procedures to ambulatory surgical centers, and an explosion of digital options.
Because of the growing volume of claims and reimbursements, processing accurate and timely payments is more challenging for payers than ever before.
New payment integrity solutions are emerging to address this issue. These tools also offer essential interoperability and data sharing functions, and they can help protect against fraud, waste, and abuse.
Using CB Insights data, we identified 166 payment integrity companies addressing 9 technology priorities for payers and self-insured employers, from claims management to network navigation.
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