One of the most interesting ideas we’ve been discussing internally lately is this:
What if the payer/provider relationship isn’t nearly as adversarial as the industry assumes it is?
In this conversation, Scott Strent shares a perspective that challenges a pretty common narrative in healthcare: the idea that payers are trying not to pay and providers are trying to extract as much reimbursement as possible.
His experience has led him to something more nuanced.
Most organizations actually do want to get it right.
The real challenge is often buried in competing incentives, disconnected departments, legacy processes, and systems that weren’t designed for collaboration.
Because if the problem is misalignment rather than malicious intent, then the future of payment integrity probably looks very different than the past.
Less tug-of-war.
More transparency.
More root-cause correction.
More getting it right the first time.
That’s the future we believe healthcare is moving toward.