What you’ll learn
- Why most health plans treat A&G as a cost center, and why that needs to change
- How to automate audit readiness and reduce manual effort by up to 40%
- The operational and member experience value of root-cause analytics
- How GenAI and built-in compliance logic are transforming A&G case management
- Real-world outcomes from leading plans: fewer repeat grievances, faster audits, improved SLA performance
Who should read this?
- A&G and Compliance leaders
- Health plan Operations and CX teams
- Medicare, Medicaid, and Commercial plan executives
- Digital transformation, audit, and regulatory strategy stakeholders
Why this matters
For many health plans, A&G remains a compliance checkbox, draining resources without delivering strategic value. But that’s changing. Forward-looking payers are leading a wave of appeals and grievances modernization, transforming A&G into a source of operational insight, member experience improvement, and audit readiness.
Download the guide to modernize your appeals and grievances operations, and elevate them from a cost center to a strategic intelligence unit.