OUR PERSPECTIVE
Technical insights from healthcare experts
Explore healthcare intelligence news, best practices, case studies, and guidance from trusted industry leaders.
EBRIEF
A Bright Future for Health Plan AI Applications
May 29, 2025
To better understand the state of AI applications and adoption amongst payers, Machinify surveyed 100 executives from U.S. health plans.
The latest in healthcare intelligence
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How Agentic AI is Transforming Clinical Data Extraction and Review
At Machinify, we’re using a new class of artificial intelligence—Agentic AI—to fundamentally change clinical data extraction.
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What is a PDE and Why Does It Matter to Payers?
In the complex world of healthcare reimbursement and oversight, few acronyms carry as much weight for Medicare Part D payers as PDE—Prescription Drug Event.
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AI for Health Plans: High Hopes, Slow Starts
Is AI moving the needle for health plans? That’s what we set out to answer in our new report based on a survey of 100 health plan executives.
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A Bright Future for Health Plan AI Applications
To better understand the state of AI applications and adoption amongst payers, Machinify surveyed 100 executives from U.S. health plans.
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Shift Happens: Why Payment Integrity is Moving Towards Pre-Pay
Health plans are increasingly moving upstream in the claims adjudication lifecycle—a strategic pivot known as the “shift left” in payment integrity.
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How Strong is Your Payment Integrity Strategy? Take Our Quiz
Quiz your payment integrity program’s performance and review timelines to uncover opportunities for operational and financial improvement.
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Behavioral Health is Essential and Payment Integrity Must Catch Up
Behavioral health is no longer an afterthought in healthcare—it’s central to how people heal, how systems function, and how payers drive value.
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Flexible Prepayment Model
A real-world study of how one of the nation’s largest payers transformed their payment integrity program and realized more than $1 billion in cost avoidance.
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Machinify at a Glance
Explore our simple, transparent payment integrity solutions to see what we can do for your organization.
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Machinify Named a Leader on Everest Group’s PEAK Matrix® Report
The PEAK Matrix® assessments deliver the critical insights enterprises need to make informed decisions when selecting top global technology and tech providers.
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Why the Future of DRG Payment Integrity is Pre-Pay—and What it Takes to Get There
When it comes to DRG payment integrity, there’s a massive shift underway—towards smarter, faster, more cost-effective pre-pay solutions.
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The Six Essential Elements of an Impactful Healthcare AI Company
Behind every real healthcare AI success story are six essential elements—skip one, and you’re not building a solution, you’re staging a performance.
Put our expertise to work for you
Let’s put innovative tech and unrivaled expertise to work in your payment integrity processes. We’ll help you design the right offerings for your business—and optimize their value at every step of the way.