AI
Industry analysis
Opinion

Provider-Payer Collaboration to Cut Administrative Complexity

Provider-Payer Collaboration to Cut Administrative Complexity

Administrative complexity costs U.S. healthcare $265B a year, and most of it piles up in the space between payers and providers, where contracts are negotiated, claims are processed, and payments get disputed. Now both sides are deploying AI against the problem, and increasingly, against each other.

In this AHA Knowledge Exchange e-book, leaders from Henry Ford Health, Grady Health System, Methodist Le Bonheur Healthcare, Providence Alaska, Schneck Medical Center, and Meadville Medical Center join Turquoise President Chris O'Dell to talk candidly about what's actually driving the friction, and what it would take to fix it.

Inside: Why denials that get overturned on appeal keep happening anyway, why payer contracts are more alike than anyone assumes, and why both sides say they'd take same-day payment with no denials, yet the deal never gets made.

Download the e-book to see where seven health system leaders think collaboration gets real.

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