McKinsey June 13, 2019
Shubham Singhal; Penelope Dash, MD; Tobias Schneider, MD; Sameer Chowdhary; and Himanshu Aggarwal

Although end-to-end digital claims management is still a distant vision, much can be gained from digitizing portions of the claims process today.

The rising cost of claims and the complexity of claims management are among the most pressing challenges health insurance companies and other private payers face today. Digitizing every step of the claims process, from data input to payment, has the potential to streamline claims management, as well as boost its efficiency and accuracy. When done right, the result can be both lower costs and better customer experiences.

Full digitization is not yet a realistic scenario in most countries, however. Although consumers have become increasingly comfortable with ­digital transactions, numerous factors—including data security and privacy concerns, the complications...

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Topics: Health System / Hospital, Insurance, Payer, Physician, Provider, RCM (Revenue Cycle Mgmt), Technology
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