Payment integrity: Unlocking the value of complex outpatient reviews

With U.S. healthcare spending projected to exceed $5.3 trillion in 2025, payers are under more pressure than ever to contain inappropriate and wasteful costs that add no value to members' care. A critical part of this effort is ensuring the integrity of claims payments—particularly as the healthcare landscape rapidly evolves due to shifting utiliza...

• Published date: 07-05-2025 04:57 PM