Skip to main content

Layered approach delivers pre and postpay savings for mid-sized health plan

Read our Savings Spotlight and learn how one mid-sized health plan increased pre and postpay savings with Payment Policy Management and Coding Validation.

Download PDF

Payers need robust pre and postpayment integrity programs to reduce the incidence of improper payments, but some plans opt for a step-by-step approach to building their programs due to provider abrasion or other concerns. Learn how a combination of pre and postpay offerings netted one mid-sized health plan plan nearly $20 million in savings in 2020, an exceptionally challenging year due to the COVID-19 pandemic, with a 1.1% prepay net savings rate and 0.2% postpay net savings rate