Payment Integrity and Cost Containment in Healthcare: Payment Harmonization Benchmark

Sixty-six percent of payers maintain regular communication with providers, and slightly over half seek feedback from providers.

February 2, 2023 – For health plans that grapple with cost containment and preserving their provider networks, increasing focus on provider satisfaction—both prior to claim submissions and after—can be a valuable differentiator. Increasing focus entails relationship building, aligned incentives, and agreement on a common set of operating metrics. While the personal touch that builds relationships cannot be automated, technology can nevertheless streamline some repetitive processes.

This report assesses how payment integrity and cost containment professionals across U.S. healthcare payers are applying data, analytics, and automation in their processes to address the biggest gaps and opportunities. This study is based on an Aite-Novarica Group Q1 2022 survey of 214 healthcare payer executives.

Clients of Aite-Novarica Group’s Healthcare Payments service can download this report and the corresponding charts.

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