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.
To better understand the state of AI applications and adoption amongst payers, Machinify surveyed 100 executives from U.S. health plans.
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.
Health plans are increasingly moving upstream in the claims adjudication lifecycle—a strategic pivot known as the “shift left” in payment integrity.
Quiz your payment integrity program's performance and review timelines to uncover opportunities for operational and financial improvement.
Behavioral health is no longer an afterthought in healthcare—it’s central to how people heal, how systems function, and how payers drive value.
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.
Explore our simple, transparent payment integrity solutions to see what we can do for your organization.
When it comes to DRG payment integrity, there’s a massive shift underway—towards smarter, faster, more cost-effective pre-pay solutions.
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.
Because artificial superintelligence is still the stuff of science fiction, LLMs need proper guidance in order to be useful to medical professionals, researchers and others in the healthcare industry.
Machinify was able to to reveal maximum cost savings while reducing payment timelines with the fastest speed to pay on prepayment reviews.