How small to mid-size health plans can use the same resources big plans use to fight fraud, waste and abuse
In the healthcare payer market, both the public and private sectors, there are wide discrepancies between the heavyweights on the one hand, and the broader market of payers with more modest means on the other.
There are stark differences in resources available to an organization covering tens of millions of lives, versus those covering tens of thousands to a few million. And yet, the challenges and needs for payers of all sizes are largely the same.
This short viewpoint paper takes the example of payers' fight against fraud, waste and abuse, and shares how cloud-based softwareas-a-service (SaaS) solutions can provide the same advanced capabilities to smaller payers,