Ebook

The evolving margin landscape and its impact on Coordination of Benefits

The evolving margin landscape and its impact on Coordination of Benefits

Pages 14 Pages

Healthcare payers face shrinking margins due to inflation, rising care costs, regulatory changes, and complex member needs, making Coordination of Benefits (COB) critical for recovery. COB errors from poor data, legacy systems, or member confusion lead to duplicate payments, missed recoveries, and compliance risks. Conduent highlights COB as a strategic lever, not just a compliance task, by integrating real-time data, AI, and predictive modeling to identify secondary coverage and reduce leakage. Their solutions have delivered over $1 billion in recoveries, a 5:1 ROI, and 30–50 percent lifts in identifying unreported coverage, helping payers align COB with long-term margin improvement.

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