Rethinking Healthcare Payments

In healthcare, the traditional process of submitting and processing claims for payments involves a complex workflow of interpretation, decision-making, and clinical judgment. These claims can be seen as units of logic that need to be analyzed and verified against a myriad of rules and payer products. The idea of eliminating the concept of claims and moving towards real-time payments by leveraging data and automated decision-making processes is a potential innovation in the healthcare payment system.