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Payment Accuracy And The American Healthcare System

posted by Change Healthcare

on November 25, 2019

Overview

As America shifts to value-based care models, getting reimbursement claims accurate from the get-go becomes more important—and harder to accomplish— than ever before.

“Life, Liberty and the pursuit of Happiness.” That might well be the most famous phrase from the U.S. Declaration of Independence. Indeed, promoting a healthy, long life has been at the forefront of family and political discourse in the United States since the founding of the republic.

There’s only one problem: the price of delivering healthcare to stay healthy has become increasingly burdensome. The cost of healthcare in the U.S. economy in 2018 was estimated to be $3.65 trillion, according to Fortune. That’s why it doesn’t matter where you sit in today’s healthcare ecosystem. For consumers, for healthcare providers, and for payers, it’s not only about improving health outcomes, but also finding a way to rein in costs.

This paper represents the views of the author, not America’s Health Insurance Plans (AHIP).  The publication, distribution or posting of this paper by AHIP does not constitute a guaranty of any product or service by AHIP.

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