Resources
to payment integrity programs
A Look Back at Healthcare in 2024
Taking a page from AI’s book, we can only improve if we are continuously learning and getting feedback from past experiences. So, we first have to reflect on the year behind us. What happened in healthcare in 2024 and how can we take those learnings into 2025?
A Glimpse into Healthcare in 2025
Of the notable possibilities in 2025, we specifically want to call attention to healthcare innovations in Artificial Intelligence (AI), payment integrity, and security as well as potential policy changes—Affordable Care Act (ACA), Medicaid, and Medicare—and the impact those changes may have on health plans.
What’s the Big Deal With Provider Abrasion?
When it comes to provider abrasion, however, we’re talking about a different kind of friction— friction between providers and health plans. But does anyone actually really know what it means? After all, the term isn’t really even used by providers themselves.
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Learn from our customers
My team loves Machinify! Their AI capabilities have increased recoveries by over 30% and reduced our dependence on PI vendors. Even more, as a leader of a large PI organization, Machinify multiplied reviewer productivity while eliminating false positives.
Working with Machinify has been a uniquely positive experience. Machinify helped us identify opportunities that were previously missing and continues to serve as valuable thought partners.
Machinify is very flexible and has clearly demonstrated a track record with our payment integrity team. We couldn't ask for better partners. Internally, there is a high level of respect and trust in Machinify and when you say something, you do it.
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