Hospitals, providers spent $25B on battles over claims, report finds
Chief Healthcare Executive examines new findings from Premier Inc. showing that hospitals and healthcare providers spent more than $25.7 billion in 2023 navigating claims adjudication, a 23 percent increase from the prior year. The analysis found that nearly 70 percent of denied claims are ultimately overturned, highlighting significant administrative inefficiencies and costs. The article also features insights from Soumi Saha, senior vice president of government affairs at Premier, who notes that rising costs per claim, increased prior authorization requirements and a complex, largely manual process continue to strain providers and impact patient care.
