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"What Current Payment Integrity Trends Mean for Health Plans"

From Pay-and-Chase to Predict-and-Prevent -- Why Prepay is the New Standard

As healthcare costs rise and claims complexity grows, health plans are rethinking their approach to payment integrity. This eBook explores the latest trends reshaping the landscape — from AI-powered prepayment strategies to the critical role of strong vendor partnerships. Drawing on recent KLAS research and real-world case studies, it reveals how modern platforms are delivering faster claims processing, greater accuracy and significant savings.

Readers will discover why post-payment recovery alone is no longer enough, how automation and human expertise can work in tandem and what investments are driving the most impact today. With actionable recommendations, this guide is essential for payers ready to evolve.

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