Monday Feb 10, 2025

Unpacking claim denials in light of public backlash against payers

The public outcry against health insurers intensified after the shooting of a UnitedHealthcare CEO. What trends are driving Americans' dissatisfaction with payers and can payers recover the public's trust?

Featuring: Jacqueline LaPointe, executive editor at Xtelligent Healthcare

In today’s episode, we’ll cover…

  • Trends in claim denials
  • The driving factors behind payers' denials
  • The role of artificial intelligence in claims management, for better and for worse...

and more!

 

To learn more about claims management, check out our Rev Cycle Management and Healthcare Payers sites!

To watch video clips from our podcast, subscribe to our YouTube channel, @HealthcareStrategies.

 

References

Breaking down claim denial rates by healthcare payer https://www.techtarget.com/revcyclemanagement/feature/Breaking-down-claim-denial-rates-by-healthcare-payer

KFF: Consumer Survey Highlights Problems with Denied Health Insurance Claims https://www.kff.org/affordable-care-act/issue-brief/consumer-survey-highlights-problems-with-denied-health-insurance-claims/

Trend Alert: Private Payers Retain Profits by Refusing or Delaying Legitimate Medical Claims https://premierinc.com/newsroom/blog/trend-alert-private-payers-retain-profits-by-refusing-or-delaying-legitimate-medical-claims

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