In a complex industry like #healthcare , #PaymentIntegrity plays a crucial role in promoting fair reimbursement practices and protecting resources.

At Lyric, we are proud to offer an #AI -first platform that helps #HealthPayers achieve integrity, all while #SimplifyingCare .

#PaymentIntegrity not only drives better payer operations but better consumer experiences as well. Everyone wins when #HealthPayers can have the support and tools they need to achieve #PaymentAccuracy . #SimplifyingCare #Healthcare PatientEngagementHIT patientengagementhit.com/features/explo…

.World Wide Technology offers insights on why #GenAI has a set of risks for #HealthPayers to navigate.

🔎 As #healthpayers face rising costs and regulatory changes, they're adapting with transparent solutions and mergers to navigate the evolving landscape. Employers will prioritize #mentalhealth services amidst soaring #healthcosts . bit.ly/3SgqJIW Healthcare Dive

Will you be at the FierceHealthcare Payer Summit? TytoCare will be there as a proud Gold Partner. Come and say hi 😀

You can book a meeting with one of our team here: okt.to/ps2Wn4

#FierceHealthPayerSummit #FierceEvents #HealthPayers

📈 Surging medical costs highlight the urgent need for a comprehensive care management approach in our healthcare system. Proactive strategies are crucial to address the challenges of rising healthcare prices. bit.ly/3Skfsak Healthcare Innovation

#healthpayers #healthcosts

The 2025 Medicare Advantage and Part D Final Rate Notice has not been responded to positively by #HealthPayers , citing that it is not 'enough to cover the needs of the Medicare Advantage population.'

More in HealthPayerIntel ▶️ bit.ly/3Qb0WSg

With the right technology, #HealthPayers of all sizes can protect their businesses and members from #FWA .

See how an MA plan prevented over $1 million in inappropriate payments in less than a year. 👇 hubs.ly/Q02gg3jF0

Qualified Health Information Networks have completed TEFCA onboarding, enabling seamless FHIR-based data exchange under Common Agreement V2.

Read more in RISE how #HealthPayers can now access clinical data at scale. 🔗 bit.ly/3HTarkq #interoperability

Cotiviti's Quality Decoded webinar series continues on April 25.

Join us as we prepare for upcoming challenges, analyze the CMSGov 2025 Final Rule, and provide actionable insights for #HealthPayers .

Register here ▶ bit.ly/3xneeo3 #HEDIS

Cotiviti's @JordanBazinsky discusses why #HealthPayers need sophisticated tools and analytics, aided by deep expertise in analyzing suspicious billing patterns in 2023.

bit.ly/3GDnypO via
Health IT Answers

#HealthPlans #telehealth

New CMSGov information-blocking rules are a game-changer for #HealthPayers and providers, imposing penalties for hindering electronic health information exchange.

Learn more from our RISE article. ▶ bit.ly/3HTarkq #interoperability

New UT Austin research recommends policymakers review new reimbursement models and promote #telehealth adoption for specific diseases and conditions for #HealthPayers to help bend the cost curve. bit.ly/3rBwlnq via FierceHealthcare

Learn how #HealthPayers can use AI and machine learning to detect emerging patterns of inappropriate #healthcare billing during this quarter’s Program Integrity Pulse webinar from Cotiviti. bit.ly/3R3oPwi

Learn critical insights on why #HealthPayers should invest in ongoing training for coding teams to ensure proficiency in #RiskAdjustment coding practices.

🔗 hubs.ly/Q02tqdLV0

#Qualtrics #XMInstitute 's annual study of #customerexperience across industries shows that the #healthinsurance industry delivers below-average experiences. Read more: xminstitute.com/blog/state-cx-…

#HealthPayers #CMO #Healthcare #MemberExperience #CustomerJourney #Personalization

#HealthPayers are raising objections to proposed MA rate cuts, citing concerns over profitability and increased utilization costs: bit.ly/3wxcUOT via HealthLeaders #payments