3Pillar ICAP 7.1.24

7 opportunities to repair the healthcare payment ecosystem
Submitting and paying claims is the financial underpinning of the U.S. healthcare system. It is a process that shapes every other aspect of the industry.

But tremendous challenges and inefficiencies, compounded by the lack of standardization and legacy IT architectures, are creating highly nuanced “breakpoints” between health plans and providers.

The need to fix those breakpoints is urgent: revenue cycles and claims systems are clogged, the patient and member experience is broken, care quality suffers, and innovations in care delivery are inhibited.

While health plans typically refer to the technologies in this system as claims management platforms, provider organizations use the term revenue cycle management software. For both, investing in more effective IT infrastructure can enable them to:
- Reduce administrative spending
- Build more price-competitive offerings
- Drive value to the organization’s other strategic priorities
Download the white paper for strategies to fix payment breakpoints and realize gains for your own organization.
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7 opportunities to repair the healthcare payment ecosystem