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The rise of AI and value-based care are poising the $9 billion payment integrity industry for change and creating the opportunity to make US healthcare reimbursement more efficient and accurate.
To improve the health of Medicaid beneficiaries, and to reduce costs, the North Carolina Department of Health and Human Services is building an innovative health care delivery system with a payment structure that rewards better health outcomes, integrates physical and behavioral health, and invests in non-medical interventions. The effort is part of Managed Care Transformation.