
The episode discusses the ongoing battle between payers and providers in the healthcare industry, focusing on the impact of AI and algorithms on reimbursement processes.
There’s a quiet battle taking place, with no field hospitals for the sick and wounded, and no bloodshed. But the stakes are high, and the losses are unforgiving. It’s the battle of algorithms. Employed by both payers and providers, the ultimate prize: money, in the form of reimbursement from submitted claims for medical care. Payers deny and recoup. Providers bill as margins shrink. During the next live edition of the ever-popular Talk Ten Tuesdays broadcast, senior healthcare analyst Frank C...
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