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Learn more about what Machinify does and how healthcare leaders rate Machinify’s products, service, and innovation in this First Look report by KLAS.
Mental health parity enforcement is accelerating across federal and state jurisdictions. Health plans are under growing pressure to demonstrate comparable oversight across behavioral health and medical benefits. Explore how a thoughtful mental health parity compliance strategy supports compliance, protects access to care, and strengthens financial stewardship.
Behavioral health has become one of the fastest-growing areas of medical spend, yet oversight models have not evolved at the same pace. As parity enforcement expands and utilization remains elevated, payers are reassessing how a behavioral health audit program can support accuracy, financial stewardship, and regulatory alignment simultaneously.
COB recovery performance depends on when primary coverage is identified. Learn how pre-pay, pre-claim, and post-pay approaches impact cash flow, workload, and net value.
Medical-benefit drug spend carries hidden risk. Learn why discretion, not fraud, drives overpayments and how analytics restore control.
Up to 60% of subrogation analyst communication effort is wasted, leading to missed recoveries and inflated administrative costs. Streamlining operations could cut workforce needs by up to 30% and transform payer return on investment.
DRG errors are costing payers millions, but the shift to AI-supported validation is rewriting what accuracy and scale can look like. Discover how modern DRG review programs can protect financial integrity while smoothing provider relationships.
With soaring utilization costs and claims volume, healthcare payers face an unsustainable challenge. Through candid conversations with payers and industry experts, the Machinify OS/AI Summit unlocked insights to make healthcare payments more transparent, efficient, accurate, and compliant.
Spending on skin substitutes has soared, often without clear clinical evidence. Discover how Machinify helped one national payer to improve accuracy, consistency, and cost control in its skin substitutes review process.
With rising medical expenses and increased scrutiny of billing inaccuracies, payers are turning to IBR to address the nuances of billing at the line-item level.
Recently, we sat down with Machinify’s Chief Data Scientist, Vijay Bharadwaj, to ask all the important AI questions. Let’s get into it.
Machinify CEO, David Pierre, sat down with Bloomberg’s Jonathan Palmer to discuss what’s on the horizon for Machinify and payment integrity.