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Appeals and Grievances: Data Driven Compliance…How Do We Get There?
Appeals and grievances departments work diligently to maintain compliance, keep up with regulations and serve members. However, with large caseloads and many moving parts, manual processes often open up potential risks. As a result, many are turning to data-driven compliance and process automation to mitigate that risk.
How Payers Improve Agility and Compliance Through Intelligent Automation
Successfully navigating these and future challenges requires agility, according to a report published by McKinsey and Company. Research show that 81% of payers say they’re investigating in technology to improve the member experience. And keeping your employees happy is vital when 44% of employees admit they’re looking for a new job.
Getting Your Budget for New A&G Solutions Approved
Authored by: Pat Goetz As a business director, you’re skilled at communicating with unhappy members, efficiently managing the appeals and grievances process and ensuring that the work gets done correctly. But when you do your job well, your manager might question the need to invest in new technology. After all, you’re already doing a great
Healthcare Payer Solutions: Capture a Competitive Advantage with Streamlined Contracting
Learn more about how to capture a competitive advantage for your organization.