Using AI to improve prior authorization is a significant trend in the payer-provider space but there is even more activity to consider regarding health tech developments at the operational level. A new eBook from Veradigm highlights the roles technology adoption, cultural transformation and strong data governance play for payers in their quest to be more competitive and press their advantage.

In 2024 alone, claims and operational bottlenecks contributed to a projected $4.9 trillion in healthcare spending. The U.S. healthcare system is experiencing a profound transformation as it shifts from a fee-for-service model to one centered around value-based care.

This seismic change has introduced a host of challenges for payers, from the fragmentation of data across multiple sources to the incre

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