Beyond Premium Billing: End-to-End Revenue Management for Health Plans

Author:

Paula Gallo, Jordan Battani

Ongoing cost pressures, product and service innovation, changing customer expectations, and emerging coverage and market reforms continue to create new requirements and competitive pressures for health plans. The ability to operate efficiently and effectively has never been more important as health plans face an almost perfect storm of difficult market conditions. Premium billing and revenue management are key processes where most health plans can achieve higher levels of automation, improved information and business integration, higher service levels, and lower operating costs.

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