Healthcare’s future will be built on prevention-first systems. For too long, denials have been treated as an unavoidable cost of doing business. The result has been billions lost to reworked claims, delayed reimbursement, and rising tension across the payer–provider–member ecosystem. In his byline for Healthcare Business Today, our Chief Customer Officer, Ruchir Ranjan, explores how payers can reframe operations around prevention-first principles that eliminate errors before they occur, accelerate reimbursement, and strengthen provider trust. Prevention comes to life through three essential practices: • Validating data at the source • Automating checks at scale • Providing real-time visibility for cleaner claims The payoff is structural. Prevention reduces administrative waste, ensures continuity of care, and positions payers for resilience in an era of value-based care and heightened regulatory expectations. At Simplify Healthcare, our solutions—Benefits1™, Provider1™, Claims1™, and Xperience1™—equip payers to put prevention into practice, embedding it into core processes and building systems that are accurate, trusted, and ready for the future. Read the full article in Healthcare Business Today: https://lnkd.in/dAiRqSJx To see how we help payers operationalize prevention and request a demo, visit: https://lnkd.in/d7wVyRkp #SimplifyHealthcare #HealthcareInnovation #DenialManagement #ValueBasedCare #DigitalHealth
How Prevention-First Systems Can Transform Healthcare
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Efficient patient care and revenue stability begin with benefits verification, even before treatment starts. When verification is timely and accurate, it eliminates billing surprises, reduces claim rejections, and ensures patients have access to care without unnecessary delays. For providers, it means fewer denials, stronger revenue protection, optimized workflows, and a reputation built on trust and transparency. In today’s healthcare landscape, timely verification is no longer optional — it’s essential for patient satisfaction and financial sustainability. Discover why timely verification is critical for both patient experience and financial health: https://lnkd.in/gPS7dzmu #VOB #Verificationofbenefits #Benefitsverification #HealthcareAI #HealthcareFinance #RCM #denialmanagement
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VP of Sales and Business Development at MailMyStatements | Managed Medical Billing | Patient Statements | HITRUST
For healthcare providers and billers, value-based arrangements introduce significant changes to billing processes and patient payment responsibilities. Understanding these implications is critical, as the financial stakes are high. MailMyStatements #RCM #ValueBasedCare #PatientBilling https://lnkd.in/gQPwtXvW
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By adopting cutting-edge digital patient billing solutions, refining workflows, and prioritizing patient education, organizations can thrive under value-based care models.
VP of Sales and Business Development at MailMyStatements | Managed Medical Billing | Patient Statements | HITRUST
For healthcare providers and billers, value-based arrangements introduce significant changes to billing processes and patient payment responsibilities. Understanding these implications is critical, as the financial stakes are high. MailMyStatements #RCM #ValueBasedCare #PatientBilling https://lnkd.in/gQPwtXvW
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CEO | Healthcare | Printing & Mailing | Patient Statements | Patient Payments | Medical Billing | HITRUST
Rather than a simple process of paying for each visit or service, value-based billing incorporates shared savings programs, bundled payments, and risk-sharing agreements. For billing teams, these models introduce much more complexity, with payments tied to broader patient care episodes and overall performance metrics.
VP of Sales and Business Development at MailMyStatements | Managed Medical Billing | Patient Statements | HITRUST
For healthcare providers and billers, value-based arrangements introduce significant changes to billing processes and patient payment responsibilities. Understanding these implications is critical, as the financial stakes are high. MailMyStatements #RCM #ValueBasedCare #PatientBilling https://lnkd.in/gQPwtXvW
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https://lnkd.in/enRfpEQQ Takeaway: The primary antagonist behind claims inaccuracy isn’t bad behavior or ill-intentioned misclassification. The culprit is fragmented systems that don’t communicate well. Administrative waste in healthcare still exceeds $1 trillion annually, despite decades of digitization and vendor optimization. As our healthcare system has evolved to provide higher quality care to more, and increasingly clinically complicated people, the disconnect between what’s billed, what’s documented and what’s actually true has deepened.
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Oracle Health is working to strengthen collaboration between healthcare providers and payers. Learn how this suite of AI-powered applications can accelerate prior authorizations, claims processing, reimbursements, and data-driven care decisions. https://lnkd.in/gJMUrmax
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Oracle Health is working to strengthen collaboration between healthcare providers and payers. Learn how this suite of AI-powered applications can accelerate prior authorizations, claims processing, reimbursements, and data-driven care decisions. https://lnkd.in/gZQKERGF
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Oracle Health is working to strengthen collaboration between healthcare providers and payers. Learn how this suite of AI-powered applications can accelerate prior authorizations, claims processing, reimbursements, and data-driven care decisions. https://lnkd.in/epCx2Pmr
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Oracle Health is working to strengthen collaboration between healthcare providers and payers. Learn how this suite of AI-powered applications can accelerate prior authorizations, claims processing, reimbursements, and data-driven care decisions. https://lnkd.in/dCj9xP-z
