Inside the Payer Arsenal

The U.S. healthcare system spends nearly $1.8 trillion annually on billing administration and revenue cycle overhead. That’s money that never reaches patients at all. A significant share of that burden falls directly on hospitals and providers, simply trying to get paid for care they’ve already delivered.

In Mark’s new LinkedIn article, he documents the full inventory of tactics insurance payers use to make that harder, from prior authorization and AI-driven denials to retrospective audits and credentialling delays. We call the full range of tactics “weapon caches,” because they’re designed to stay hidden while providers absorb the damage.

The worst part is, the system is working exactly as designed.

Learn more here.

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