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.
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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