Addressing Payer Denials and Utilization Challenges in US Healthcare
Explore challenges healthcare providers face with payer denials and audits and how solutions like PayerWatch's platform improve revenue protection and utilization management.
Explore challenges healthcare providers face with payer denials and audits and how solutions like PayerWatch's platform improve revenue protection and utilization management.
CMS introduces the WISeR Model pilot program leveraging AI-driven prior authorization to reduce Medicare overuse and fraud in six states from 2026-2031.
Research shows administrative delays and insurance utilization management practices disrupt timely cancer treatment and increase patient distress, highlighting the need for systemic reform.