IDC Spotlight: How Health Plans Can Maximize Payment Integrity

A comprehensive approach to payment integrity can reduce overall costs while minimizing low-value activity and stakeholder friction. And a shift-left strategy helps move operations from reactive to predictive, ultimately breaking down organizational silos and enabling more perceptive analysis.

Read the IDC Spotlight paper to learn how health plans can move from a pay-and-chase model to a more predictive approach that enables seamless member and provider experiences, while lowering administrative effort and costs.

Abstract mesh and structure background

What You’ll Learn:

  • How AI and ML technology can reduce billing errors and fraud and improve payment accuracy
  • Why education, transparency and performance tracking improve provider engagement and end-to-end support
  • How NTT DATA Medical Cost Manager’s flexible architecture transforms the claims process