White Paper

Health Payment at a Breaking Point: The Cost of Increasing Data Asymmetry

Healthcare payments are at a breaking point as payers use AI, automation, and opaque rules to accelerate denials, change rules mid contract, and erode provider revenue. This industry brief explores how leading health systems are using AI-driven analytics and workflows to uncover real payer behavior, prevent avoidable denials, and restore leverage in payer negotiations.
Why growing data asymmetry and rapidly changing payer logic are driving higher denials, administrative burden, and revenue loss for providers
How AI-powered, real-time analytics can predict denials, adapt to payer behavior, and modernize revenue cycle operations
How providers can use objective claims data to strengthen payer accountability and negotiate contracts based on how payers actually pay, not just what policies say
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