The $84 Billion Blind Spot: Why Payment Integrity is Still Healthcare's Most Under-Solved Problem

In Episode 001 of The Lumiknox Health Brief, Gabrielle Walsh (Account Manager, Lumiknox) and Daniel Brown (Vice President, Lumiknox) break down why payment integrity remains healthcare's most expensive unsolved problem and what the organizations actually fixing it are doing differently.Covered in this episode: The $84 billion Medicare Advantage over payment figure and what it means for commercial payers. Why one in five claims is denied and 80% of those denials are preventable. The HCC risk adjustment bind under coding costs revenue, over coding triggers RADV audits. The Payment Integrity Maturity Curve - three stages from reactive recovery to strategic intelligence. What separates plans that scale payment integrity from those that plateau.For TPAs, regional health plans, and Medicare Advantage organizations.Contact: [email protected] · Free 50-encounter coding accuracy assessment under signed BAA.