Resources

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12 Questions (and Answers) About Pharmacy Payment Integrity, from a Payer’s POV

At Machinify, we’re always looking for new ways to bring clarity to complex payment integrity challenges—and pharmacy is no exception. Chris Powers, VP of National Sales, sat down with Derek McMahan, SVP of Pharmacy to answer the industry’s most pressing questions.

June 10, 2025

Blog

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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.

June 05, 2025

Blog

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.

June 03, 2025

Blog

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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.

May 29, 2025

eBrief

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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.

May 29, 2025

eBrief

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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.

May 14, 2025

Blog

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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.

May 08, 2025

Blog

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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.

May 06, 2025

Blog

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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.

May 01, 2025

Case Study

Machinify at a Glance

Explore our simple, transparent payment integrity solutions to see what we can do for your organization.

April 28, 2025

Blog

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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.

April 25, 2025

eBrief

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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.

April 24, 2025

Blog

Technical insights from healthcare experts.