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Health IT Answers: Anne Neal on Why Payment Integrity Needs a New Operating Model 

Anne Neal was recently featured as a contributing author on Health IT Answers, where she outlined how traditional payment integrity programs can achieve savings and recoveries but also create increased administrative burden, provider frustration, and operational inefficiencies. 

In her article, “Payment Integrity Needs a New Operating Model,” Anne calls for a new operating model that emphasizes payment accuracy earlier in the claims process, when issues can be addressed with less friction. She advocates for payment accuracy – a coordinated, enterprise-wide strategy that aligns payment integrity, claims operations, provider relations, finance, and clinical policy around preventing avoidable errors rather than simply recovering dollars after the fact. Success should be measured not only by recoveries, but also by the reduction of friction and rework across the healthcare payment ecosystem. 

Read her full piece here.