Complimentary Access: Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2025
CMS program audit readiness playbook
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Streamlining Vendor Proposal Management Process The Challenge A leading Virginia-based health plan faced significant operational inefficiencies in its vendor proposal […]
Highlights Quantifiable Results 60% Reduction in audit preparation time, allowing for faster compliance reporting and action. 50% Improvement in risk […]
Highlights An Alabama-Based Health Plan Leverages Compliance-Driven Automation to Digitally Transform its A&G Department 3,800 A&G cases 8,512 provider disputes […]
Highlights Driving Health Plan Compliance Automation Through a Next-Generation Universe Management System 182,889 in annual operational savings 196,801 errors identified […]
Highlights Streamline Appeals and Grievances Processes, Enhance Operational Efficiency, and Reduce Operational Costs Quantifiable Results 47% reduction in total cost […]
Highlights Streamline Provider Dispute Processes, Enhance Operational Efficiency, and Reduce Backlogs Quantifiable Results The Customer The client is a leading […]
Highlights Streamlining CMS Program Audits Quantifiable Results 80% reduction in data submission effort for CMS Program Audits. 85% reduction in […]
Highlights Quantifiable Results 58% reduction in time spent on data scrubbing 90% reduction in audit review time 67% reduction in […]
Highlights California Health Plan Achieves Zero A&G Audit Findings and $160K in Operational Savings with Inovaare California Health Plan Appeals […]
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