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CHICAGO--(BUSINESS WIRE)--AArete, a leading global management and technology consulting firm, today officially announced its next generation Payment Intelligence® solution, which leapfrogs traditional payment integrity offerings by revolutionizing health plan operations and medical claims payment accuracy..
芝加哥--(商业新闻短讯)--全球领先的管理和技术咨询公司AArete今天正式宣布其下一代支付智能®解决方案,该解决方案通过彻底改变健康计划运营和医疗索赔支付准确性,超越了传统的支付完整性服务。。
Payment Intelligence® accelerates review of claims and configuration across six critical pillars of payment accuracy, with one data feed and multiple analytic methods in one integrated solution. The AI-powered platform uses advanced claims analytics, a proprietary Doczy™ tool, and AI/ML models to find and fix the root cause of costly claims challenges at scale.
Payment Intelligence®通过一个集成解决方案中的一个数据馈送和多种分析方法,加速了对六个关键支付准确性支柱的索赔和配置的审查。人工智能支持的平台使用高级索赔分析、专有的Doczy™工具和AI/ML模型来查找和修复大规模昂贵索赔挑战的根本原因。
The AI/ML models learn and adapt to new requirements and regulations at both the national and state level. They also incorporate plan-specific policies and contractual obligations into smart claims processing..
AI/ML模型学习并适应国家和州层面的新要求和法规。他们还将特定于计划的政策和合同义务纳入智能索赔处理。。
“Payment Intelligence® is breaking new ground, enabling health plans to pay claims more accurately and drive up to 5% in first-year medical claims savings, above and beyond savings identified by other vendors or internal processes,” said Maria Turner, AArete managing director. “Systematically eliminating inaccuracies creates productivity improvements in the claims payment lifecycle with multi-year impact for typical clients, including annual reductions of up to 18% in administrative costs.”.
AArete董事总经理Maria Turner说:“Payment Intelligence®正在开创新局面,使医疗计划能够更准确地支付索赔,并在第一年节省高达5%的医疗索赔费用,超过其他供应商或内部流程确定的节省费用。”。“系统地消除不准确之处可以提高索赔支付生命周期的生产力,对典型客户产生多年的影响,包括每年减少高达18%的管理成本。”。
Payment Intelligence® has been engineered to navigate the complexity and nuances of provider contracts, plan policies, regulations and industry standards. The solution accommodates company policies and health plans’ unique business decisions, while seamlessly integrating critical details of provider contracts, such as rates and complex carveouts.
Payment Intelligence®旨在应对提供商合同、计划政策、法规和行业标准的复杂性和细微差别。该解决方案适应了公司政策和健康计划独特的业务决策,同时无缝集成了供应商合同的关键细节,例如费率和复杂的分拆。
Delving beyond CMS, Payment Intelligence® comprehensively addresses regulatory requirements (extending to state-specific rules), making it valuable to all lines of business. The solution is customized for each client, with state-of-the-art technology creating a seamlessly efficient process..
除了CMS之外,Payment Intelligence®还全面满足监管要求(扩展到州特定规则),使其对所有业务线都很有价值。该解决方案是为每个客户定制的,采用最先进的技术创建了无缝高效的流程。。
Learn more here: AArete Payment Intelligence® video
了解更多信息:AArete Payment Intelligence®视频
Payment Intelligence® offers health plans a fast track to ROI. The claims and configuration process leverages AArete's more than 15 years of deep expertise in healthcare consulting and is led by specialists who understand the industry complexities and client requirements. The client delivery team ensures rapid onboarding, reducing false positives, and swiftly translating insights into tangible value for clients..
Payment Intelligence®为健康计划提供了快速的投资回报率。索赔和配置流程利用了AArete在医疗保健咨询领域拥有15年以上的丰富专业知识,并由了解行业复杂性和客户需求的专家领导。客户交付团队确保快速入职,减少误报,并迅速将见解转化为客户的有形价值。。
“As a healthcare consulting leader, AArete is investing in practical AI solutions such as Payment Intelligence® to unlock and automate greater operational efficiency for our clients,” said Loren Trimble, AArete CEO. “At AArete, we Humanize Data for Purposeful Change® by combining our industry expertise with the power of AI and modern technologies to increase the speed, efficiency and accuracy of critical business operations.”.
Aarte首席执行官LorenTrimble表示:“作为医疗保健咨询的领导者,Aarte正在投资支付智能(Payment Intelligence®)等实用人工智能解决方案,为我们的客户解锁和自动化更高的运营效率。”。“在AArete,我们通过将我们的行业专业知识与人工智能和现代技术的力量相结合,将数据人性化,以实现有目的的变革®,从而提高关键业务运营的速度、效率和准确性。”。
About AArete
关于AArete
AArete is a global management and technology consulting firm specializing in driving profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results.
Aarte是一家全球管理和技术咨询公司,专门为客户推动盈利能力提高、数字化转型以及战略与变革。我们的跨行业解决方案以数字优先的思维方式、市场情报和数据驱动的方法为动力,以提供有目的的变革、可行的见解和有保障的结果。
We work across all industries and business functions to optimize profits in a compressed timeframe. AArete humanizes data by translating numbers into actionable insights, helping clients make better decisions and standing by their side to foster change with confidence, empathy and purpose. Learn more at AArete.com or follow us @AArete on LinkedIn..
我们在所有行业和业务职能部门开展工作,以在压缩的时间范围内优化利润。AArete通过将数字转化为可行的见解,帮助客户做出更好的决策,并站在他们一边,满怀信心、同理心和目标地促进变革,从而使数据人性化。请访问AArete.com了解更多信息,或在LinkedIn上关注我们@AArete。。