Tag: Managed Care
Denials by bots: Why providers need to keep an (even closer) eye on claims
Payers increasingly rely on AI and automation to process claims, leading to higher denial rates, lawsuits, and scrutiny, necessitating proactive provider strategies to challenge harmful practices and safeguard revenue.
Shifts in healthcare, provider hurdles, & the flywheel effect
UnitedHealth Group's vertically integrated model leverages its assets to drive profitability while straining providers through low reimbursement rates, fueling industry-wide tension and highlighting the need for proactive strategies to address...