-
-
Stemming Revenue Leakage in Hospital System: Dr. Jigar Patel on Podnosis
Chris Hayden speaks with Dr. Jigar Patel of Claritev about why patient leakage is so hard to detect, how data limitations—especially for rural hospitals—obscure revenue loss, and why specialty care drives the greatest outflow in today’s mobile healthcare environment.
-
ESRD Premium Restoration Can Have a Large Impact Despite Small Number of ESRD Patients
ESRD premium restoration solutions help ensure Medicare Advantage plans are properly reimbursed for ESRD patients by identifying members with missing ESRD statuses and restoring the premiums. However, because of the low number of ESRD patients, small healthplans often underestimate the potential impact of using an ESRD premium restoration solution and decide against using one. This article explains why they should reconsider.
-
Confronting Healthcare Waste and Abuse with Innovative Payment Integrity Strategies
Explore how innovative payment integrity strategies are transforming healthcare by tackling waste and abuse. Discover the key drivers of inefficiencies in U.S. healthcare spending—from administrative overhead to claims errors—and learn how advanced technology, collaboration, and transparency can reduce costs, enhance patient experience, and strengthen provider relations.
-
Top 5 Payment Integrity Challenges Payors Face Today
Payors face increasing complexities in healthcare claims. This blog explores the top five payment integrity challenges and offers strategies for overcoming them, enabling payors to improve financial outcomes and provider relationships.
-
What Is Revenue Integrity in Healthcare?
Claritev explains what revenue integrity is via a short video.
-
White Paper: Health Leaders Respond to the No Surprises Act
Claritev's recent survey indicates that healthcare payors and providers see the regulations in the No Surprises Act, which was enacted to help protect patients from balance billing, as a positive step toward protecting patients from experiencing unexpected costs.
-
Five Healthcare Trends to Watch in 2022 that Can Rein In Skyrocketing Costs
While healthcare spending continues to soar, impacting all players in the healthcare ecosystem, Claritev understands it will take a combination of forces chipping away at the margins to make healthcare more affordable. Here are five trends we’re watching in 2022 with the potential to lower costs, improve outcomes, and make our health system more sustainable over time.
-
-
New technologies drive Premium Restoration innovation
Innovations in AI and machine learning unlock opportunities to eliminate waste, reduce costs, and make healthcare more affordable. Claritev offers the best of both machine power and human power to help Medicare Adavantage plans ensure the accuracy of CMS premiums.
Category: Revenue Integrity
