Explore tweets tagged as #HealthPayers
In a complex industry like #healthcare, #PaymentIntegrity plays a crucial role in promoting fair reimbursement practices and protecting resources. At Lyric, we are proud to offer an #AI-first platform that helps #HealthPayers achieve integrity, all while #SimplifyingCare.
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In the latest episode of The Better Care Podcast, Jacqueline Kimmell discusses how payers are navigating tight margins and growing challenges from Medicare Advantage. This friction is reshaping the way health systems operate. #MedicareAdvantage #HealthcareDenials #HealthPayers
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Combining our robust #SecondaryEditing solution with our current #PrimaryEditing capabilities can ensure that your #PaymentAccuracy program provides maximum impact. Below are the many benefits you will receive when you choose this offering: #SimplifyingCare #HealthPayers
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As #healthcare payers eye #GenAI solutions to enhance services, drive operational efficiency and spur investment growth, they'll have to navigate privacy, bias and regulatory challenges.
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A recent survey from @BainandCompany shows that around 75% of #HealthPayers increased #IT investments over the past year, with a focus on tools for care coordination, utilization management, and payment processing. A great strategy for staying competitive and efficient.
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Second-pass claims editing and AI-driven DRG validation are vital strategies for plans aiming to improve payment accuracy. Matthew Hawley shares insights in @HCBizToday about safeguarding against inappropriate payments. 📌 https://t.co/DA0UJcgpnG
#HealthPayers #payments
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A holistic approach to payment integrity cuts medical costs and reduces administrative burdens. Matthew Hawley reports that it also improves provider relationships and enhances member affordability. 🔗 https://t.co/DA0UJcgpnG via @HCBizToday
#HealthPayers #payments
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Facing a 7.0% medical cost trend and ~90% medical loss ratios in 2024, #HealthPayers are turning to holistic payment integrity programs to manage financial performance and sustain quality care. Matthew Hawley shares the details in @HCBizToday ➡ https://t.co/DA0UJcgpnG
#payments
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#HealthPayers face tight timelines to meet the @CMSGov Interoperability Rule by 2027. Implementing and integrating key APIs into workflows will be challenging, especially with legacy infrastructure ▶ https://t.co/w12xnsxZMA via @FirstReportMC
#interoperability
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Will you be at the @FierceHealth Payer Summit? TytoCare will be there as a proud Gold Partner. Come and say hi 😀 You can book a meeting with one of our team here: https://t.co/dWElr9lyFt
#FierceHealthPayerSummit #FierceEvents #HealthPayers
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The recent release of the 2025 Medicare Advantage (MA) and Part D Star Ratings saw multiple #HealthPayers filing litigation. Cotiviti's Marge Ciancetta offers three takeaways on our blog.
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Cotiviti's Marge Ciancetta shares three takeaways from the 2025 Medicare Advantage (MA) and Part D Star Ratings, which saw worse performance for MA #HealthPayers of all sizes.
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Healthcare fraud, waste, and abuse (#FWA) remain significant challenges, costing #HealthPayers billions annually. Recent cases highlight schemes such as fraudulent claims, kickbacks, and unnecessary testing. Read more from Cotiviti's Erin Rutzler.👇 https://t.co/vgmYfyH6Ae
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The Healthcare Payer Services Market is projected to grow at a CAGR of ~8% from 2025 to 2030. full insights https://t.co/71jWnM6sh5
#Healthcare #PayerServices #DigitalHealth #HealthcareIT #HealthPayers #HealthcarePayerServices
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#Healthcare providers have long-needed streamlined authorizations, claims, and payments, but outdated processes have hindered payers from providing this experience. #HealthPayers, reach out to our team today to learn how our solutions can help.
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From developing a business-led digital roadmap to redesigning operative models, there are several ways #HealthPayers can prepare for the AI-led #DigitalTransformation happening in healthcare. And as always, our team is here to help. 👋
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In our pursuit of a more efficient and transparent #healthcare system, Prepay edits serve as a critical frontline defense. Here’s why Prepay edits are essential 🧵: #SimplifyingCare #HealthPayers
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With some #HealthPayers exiting the MA market, smaller plans must focus on strategies that optimize quality initiatives and Star Ratings. Cotiviti's Marge Ciancetta discusses the Star Ratings recalculation on the @AJMC_Journal's Managed Care Cast ▶
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#HealthPayers can achieve an edge by using 4 proactive strategies to create more comprehensive payment integrity programs. Cotiviti's Matthew Hawley explains how. 🔗 https://t.co/ydo26coy64
@HDMmagazine #payments
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#PaymentIntegrity not only drives better payer operations but better consumer experiences as well. Everyone wins when #HealthPayers can have the support and tools they need to achieve #PaymentAccuracy. #SimplifyingCare #Healthcare @PEHealthIT
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