“Our preference has always been to get as much prepayment as we could, because it tends to be more efficient and create less hassle and frustration for the physicians who are usually the ones that bear the brunt of the editing.” That’s how the chief executive officer of one health plan responded when we recently conducted a survey of more than 100 health plan leaders in partnership with HealthPayerIntelligence to examine how payers are balancing prospective and retrospective payment integrity across their enterprise.
