Market Overview of Payment Integrity 2022

Despite the ups and downs of the last few years, PI-related IT spending is projected to grow.  

August 4, 2022 – Compared to last year, AI has gained traction from buyers after a long period of skepticism and hesitation regarding its benefits. Healthcare payers showed greater interest in understanding the inner workings of AI to help them analyze claims and understand just how their vendor partners calculate savings.

This Aite-Novarica Group report evaluates the PI market, lists key PI market trends specific to healthcare claims, and sizes the market using multiple metrics. It draws from the results of a forthcoming Aite Matrix report, which will provide a formal evaluation of leading PI vendors through Aite-Novarica Group’s proprietary vendor assessment framework.

This 32-page Impact Report contains 10 figures and two tables. Clients of Aite-Novarica Group’s Healthcare Payments service can download this report and the corresponding charts.

This report mentions Alivia Analytics, CGI Group, Change Healthcare, ClarisHealth, Codoxo, Cotiviti, EXL Service, Healthcare Fraud Shield, IBM, Integrity Advantage, Mastercard Healthcare Solutions, MultiPlan, OptumInsight, SAS, Shift Technology, and Zelis.

Related Content

No Surprises Act, Transparency in Coverage Act, and Other Regulations

2022 is a year of important regulatory acts hitting health plans and consumer-driven health (CDH) administrators in a strategic way.

Aite Matrix Client Reference Feedback: Payment Integrity in Healthcare

Overall, healthcare clients of payment integrity vendors are satisfied with their vendors’ product functionality and services.

Aite Matrix: Payment Integrity in Healthcare

Technology vendor partners can help health plans seeking to optimize their claims payment process uncover new opportunities.

Get Summary Report

"*" indicates required fields