Mizzeto

Outdated claims auditing processes create inefficiencies, increase compliance risks, and drive up costs for payers. Mizzeto delivers AI-driven, cost-effective solutions that improve accuracy, streamline audits, and reduce risk. Learn more here:

Mizzeto has received the Minority Business Enterprise Certification, reinforcing our commitment to diversity and excellence. This certification strengthens our ability to collaborate with organizations that share our vision for innovation and growth.

Mizzeto is now an official AI Cloud Partner with Microsoft. This partnership underscores our commitment to leveraging advanced technology to enhance operational efficiency. We look forward to driving innovation and delivering impactful solutions.

Payer organizations are moving away from slow, manual claims processing toward AI-driven automation that enhances accuracy, speeds up approvals, and reduces administrative burdens. By automating claim validations and benefit configurations, AI is transforming a once-complex system into a more efficient, scalable process. Read this article to explore how AI is reshaping claims processing and what it means for the future of healthcare.

The healthcare payer industry faces a critical staffing shortage, putting a strain on operations and service quality. Offshore teams, automation, and AI are transforming operations, improving efficiency, and paving the way for a more resilient future. Discover how these innovations streamline workflows and drive agility in today’s challenging landscape.

Recently, Mizzeto has been working with a Fortune 25 Payer to streamline their AI data governance frameworks for internal systems and 3rd party vendor selections. In this article, we focus on the core principles of AI Data Governance, its importance for Payers, and how to mitigate compliance risks.?

Claims automation is changing how payers handle claims, but is it worth it? Manual processing adds costs and increases errors. Automation promises efficiency, but adopting it comes with challenges. This article breaks down the real impact of automation and what it means for payers.

Significant updates to Medicare Advantage and Part D will take effect in January 2025, introducing changes for beneficiaries and industry stakeholders. From capped annual out-of-pocket drug costs and expanded supplemental benefits to the new Manufacturer Discount Program, these changes aim to enhance affordability and access while addressing broader health needs. For payers and manufacturers, the operational implications are considerable, with updates requiring careful planning and system integration to align with evolving regulatory requirements. Read our latest article for a detailed breakdown of these changes and their potential impact on the industry.

The rise of payviders marks a significant shift in the healthcare industry, blending the roles of payers and providers to create a more integrated, patient-centered care model. This transformation has the potential to improve patient outcomes and reduce costs across the board. This article from Mizzeto dives into what’s driving this trend and how it’s shaping the future of healthcare.

The integration of payers and providers, known as payviders, is transforming healthcare delivery by streamlining care coordination and reducing costs. This article offers an insightful look at how this model is shaping the future of healthcare.