Preview Mode Links will not work in preview mode

Welcome to the Change Healthcare podcast.

Change Healthcare is inspiring a better healthcare system.

Whether you need to improve operational efficiency, optimize financial performance, or enhance the consumer experience, we offer the industry insight and innovative technology to help you meet your objectives.

Dec 17, 2020

A source of inefficiency in U.S. healthcare is the process for detecting and correcting inaccurate insurance claims payments. Traditional approaches, based on claims auditing, use a “pay and chase” process to recover improper payments. On today’s program, Change Healthcare’s Phillip Cardona and Mike Spellman...


Nov 30, 2020

Up to 1 in 5 insured are covered by more than one healthcare plan. It’s no secret that one plan will often pay more claims than it’s obligated to while another never gets the bill. Health plans typically solve for this problem through provider audits and other post-payment activities, when better coordination of...


Feb 14, 2020

Payment integrity audits--the process of ensuring that payments to providers are accurate--can be a costly and time-consuming proposition for providers. Payers or their third-party vendors routinely audit claims to ensure providers applied appropriate care, utilization, and billing codes.

But how abrasive is the...


Oct 19, 2019

As America shifts to value-based care, it becomes ever more important to get reimbursement claims accurate from the get-go.

by Dave Cardelle and Amy Larsson

Dave Cardelle is VP of Payment Integrity Solution Management at Change Healthcare. Amy Larsson is VP of Clinical Claims Management Solutions at Change...


Oct 19, 2019

Payment Accuracy is essential to reducing administrative costs, optimizing fee for service, and enabling the transition to value-based care.

by Amy Larsson, VP Clinical Claims Management Solutions, Change Healthcare.

This is part one of a two-part series, focused on trends and best practices in the payment accuracy...