Healthcare Innovation February 25, 2025
A new Premier report finds claims adjudication costs to be a massive challenge for providers
A new national survey of patient care organizations conducted by the Charlotte-based Premier Inc. is finding that the costs that providers are sustaining from the claims adjudication process are soaring. The survey of leaders from 280 hospitals nationwide, whose results were reported on Premier’s website on Feb. 24, has found that the claims adjudication process cost healthcare providers more than $25.7 billion in 2023—a 23-percent increase from the previous year. Meanwhile, 70 percent of denials were ultimately overturned and the claims paid, but often after multiple, costly rounds of review.
The press release on the survey noted that “Claims adjudication costs healthcare providers more than...