AWS Partners’ Post

The delicate balance between stringent payment integrity and positive provider relations is a critical challenge for health plans. This in-depth analysis explores innovative strategies to optimize both. Key topics covered: • Leveraging AI for advanced fraud detection while fostering transparency • Integrating clinical expertise into claims reviews • The PACT framework for aligning payment accuracy and provider partnerships • Streamlining provider dispute resolution through automation By proactively addressing friction points, health plans can reduce costs from FWA while strengthening provider collaboration - the formula for better outcomes. https://zurl.co/4kwD #PaymentIntegrity #ProviderRelations #ValueBasedCare #HealthcareAutomation

This year’s Trends in Healthcare Payments Annual Report by JP Morgan highlights signs of progress, but full-financial recovery will require a long-term strategy. While macroeconomic trends like labor shortages and high costs persist, buzzworthy advancements in AI, alternative payment models and a new payments infrastructure are driving the industry to modernize. How can healthcare stakeholders tackle the roadblocks in payment innovation? Join our webinar tomorrow, Tuesday, April 30 at 12:00 PM ET to explore buzzworthy advancements, alternative payment models and more. Gain practical insights to embrace change and drive modernization. Don’t miss your chance to register! https://lnkd.in/gEFfw9is #HealthcareTrends #Innovation #JPHealthcarePayments

Learn how Dhaval Shah, Executive Vice President, CitiusTech, shares what sets us apart and why customers trust us as their reliable partner for innovative healthcare solutions. Gain insights from his experience with various stakeholders. #CitiusTech #BeYouBeAwesome

Learn how DvSum empowers healthcare organizations to unleash data insights to maximize business outcomes. https://zurl.co/0QhD #genai healthcare #selfserviceanalytics #dvsum

Payers are looking to rein in inappropriate medical costs, achieve greater value, and stay competitive. How? Implementing four proactive strategies will create more comprehensive payment integrity programs. These strategies are not just beneficial; they are essential for success: 🔹 Optimize coordination of benefits with suitable supplemental data sources 🔹 Pinpoint overpaid claims with data mining 🔹 Leverage AI to flag suspicious behavior 🔹 Combine data-driven technology with clinical know-how Read more from Cotiviti's EVP of payment integrity, Matthew Hawley, who shares his expertise with Health Data Management. https://bit.ly/4efLhuu hashtag #payments hashtag #HealthPlans hashtag #healthcare …more

💯🧠 Sure—AI will be paramount to the next era of payment integrity (PI). But it's more than technology; it's a pathway to a future where health plans—and their dedicated payment professionals—will realize improvements in payment accuracy that come faster, at less cost, and with greater transparency. Because unlocking greater value across the PI value chain will also reduce provider abrasion, strengthen understanding among stakeholders, and help drive transformation in healthcare, through the financial environment. To our valued customers and many other terrific plans who are looking for a true ally, take a minute to stop by our website—Lyric.AI. Good things are happening. Not just for us, but for you. 👇 And follow our LinkedIn page below. You'll appreciate the information, insights, and news that matter to you. Lyric - Clarity in motion. #HealthPlanInnovation #betterbridges #PaymentIntegrity

Access to quality healthcare should be fundamental human right. Great vision here BitDoctor.ai for bringing this groundbreaking innovation.

Managing patient payments can be a real challenge in healthcare. That's why I strongly advocate for Authvia's Text to Pay solution. It simplifies the payment process, allowing patients to pay instantly via SMS—no log-ins, no delays. Isn't it time we made healthcare payments as painless as possible? Want to learn more? I’m here for a chat if you'd like to discuss potential solutions or share your thoughts. #patientpayments #digitalpayments #fintech

𝐈𝐧𝐒𝐢𝐥𝐢𝐜𝐨𝐓𝐫𝐢𝐚𝐥𝐬 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐢𝐧 𝐇𝐒𝐁𝐂 𝐕𝐞𝐧𝐭𝐮𝐫𝐞 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐑𝐞𝐩𝐨𝐫𝐭 𝟏𝐇 𝟐𝟎𝟐𝟒 The HSBC Healthcare Annual Report 1H 2024 provides a comprehensive analysis of the #healthcare sector, covering trends in #venturecapital investments, #biopharma, medical devices, and #healthtech.   Notably, 𝗜𝗻𝗦𝗶𝗹𝗶𝗰𝗼𝗧𝗿𝗶𝗮𝗹𝘀 is included between the most prominent companies within the 𝗜𝗻𝘀𝗶𝗴𝗵𝘁 𝗽𝗹𝗮𝘁𝗳𝗼𝗿𝗺 𝗮𝗻𝗱 𝗜𝗻𝗳𝗿𝗮𝘀𝘁𝗿𝘂𝗰𝘁𝘂𝗿𝗲 (𝗜𝗣𝗜) sub-sector, on slide 34. In such slide, we can see the most important companies in the #computationalbiology landscape in 1H 2024 for USA and Europe broken down into 4 sectors: ✅ #AI Discovery (AID) ✅ #Diagnostics (Dx) ✅ #Clinical Response Predication (CRP) ✅ Insight #Platform & #Infrastructure (IPI).   We are honoured by this mention, as it highlights our work in democratizing #modelingandsimulation, making these advanced tools more accessible to #researchers and organizations worldwide.   Authored by HSBC Innovation Banking's division, the report serves as a valuable resource for #stakeholders looking to understand the current and future directions of the healthcare industry. 🔗 Download full report: https://lnkd.in/ggqMVkCH

The longer payments remain outstanding, the greater the risk of bad debt and cash flow problems. Automated denial management systems can analyze why claims are denied and prompt re-submissions without needing constant human intervention. Dear LinkedIn folks, please share your thoughts about the next level of automation possible. #Healthcare #RCM #Discussion #AI #EHR #Clearing_houses #PMS #Medical_Billing #OnlyRCM #Technology