Feb 20, 2025 | AI in Healthcare, Payment Integrity
Navigating MLR Compliance with AI-Powered Healthcare Cost Containment Newsflash: Pressures are escalating for healthcare payers again. Faced with intense expectations to manage rising administrative costs while complying with strict medical loss ratio (MLR)...
Feb 11, 2025 | AI for PI Community, AI in Healthcare, Payment Integrity
Healthcare payers face an unprecedented challenge: maintaining financial integrity while preserving vital provider relationships. As claims volumes surge and complexity increases, traditional reactive approaches to payment integrity are no longer sufficient. The...
Jan 21, 2025 | AI in Healthcare
What if the solution to healthcare’s toughest operational and financial challenges – from skyrocketing costs to rampant administrative inefficiencies — was already within reach? Generative AI is more than a disruptive technology—it’s a transformative force...
Jul 10, 2024 | AI in Healthcare, Payment Integrity
At the recent AI for PI Summit, hosted by the AI for PI Community, Congressman David Schweikert delivered a rousing keynote emphasizing the critical opportunities now possible at the intersection of technology, healthcare, and policy. Titled “AI for...
Jun 26, 2024 | AI in Healthcare, Payment Integrity
Stakeholders agree on the immense potential of AI to revolutionize healthcare cost containment while embracing collaborative opportunities across the industry to move the needle. The recent AI Summit in Atlanta served as a vibrant platform for open dialogue, exchange...
Mar 8, 2024 | AI in Healthcare
Codoxo’s Provider Scope has saved one health plan $5 PMPY in just a few short months. For mid-size health plans, this could translate to $2 million to $3.5 million in cost avoidance a year. Provider education, while critical to ensuring accurate payment integrity and...
