Case Study: a large national health plan identifies $100K per day in savings with Shift Technology

Large National Health Plan identifies $100K per day in savings with Shift Technology

A large national health plan covering 1.5 million Medicare members sought a renewed payment integrity strategy to improve accuracy and keep premiums affordable. Their existing processes were falling short, and they partnered with Shift Technology to implement an AI-powered claims editing solution to maximize prepayment savings.

Shift Technology implemented an innovative solution that included intelligent edit selection and pre-production analysis tailored to the plan's unique data. The result was the identification of over $100,000 per day in savings opportunities within the first week, putting the plan on a trajectory to save an estimated $40 million annually. Shift's solution also delivered significant operational efficiencies and improved payment accuracy for the customer.