Payers have recently been achieving significant cost-containment by addressing pre- and post-pay deficiencies as part of the claims adjudication process

Health systems and payers are each holding on tightly to their patients’ and members’ data, making it difficult to achieve consumerism’s promises of higher care quality and lower costs. We’re now sitting in between these two extremes, right at the tipping point between an unwillingness to share consumer data, and the need for more data across more hands in healthcare.