USA, New Jersey: According to Verified Market Research analysis, the global Medical Payment Integrity Market size was valued at USD 0.98 Billion in 2023 and is projected to reach USD 1.81 Billion by 2031, growing at a CAGR of 8.22%
Healthcare & Life Sciences will experience significant changes in revenue cycle management, shifting towards a more proactive and data-driven approach to payment integrity. The ability to detect and prevent fraud in real-time, rather than retrospectively, will drive significant cost savings and improve financial performance.
Healthcare providers and payers need to adopt AI-powered tools to automate claims review processes, detect fraudulent activities, and improve accuracy. This would involve implementing AI/ML models to analyze claims data, flag suspicious transactions, and streamline payment processes, reducing manual labor and improving efficiency.