How Managed Care and AI Changed Who Wins—and Who Pays: The New Economics of Payment Integrity
1 CPE credit
in the field of Specialized Knowledge
Join Holland & Knight and BDO for a timely joint webcast exploring how managed care and artificial intelligence are redefining healthcare payment risk. As payment authority has shifted from traditional Medicare and Medicaid models to private managed care organizations, providers are facing increased denials, underpayments, delayed reimbursements, and growing administrative burden.
This session will examine the structural and economic forces driving payment suppression, the expanding role of AI in utilization management and coverage decisions, and why traditional revenue cycle strategies are no longer sufficient. Attendees will gain practical insights into how leading organizations are using analytics, escalation strategies, and legal and regulatory avenues to address payment integrity challenges in today’s evolving reimbursement environment.