Navigating Healthcare Payment Processing

The Urgent Need for Redundancy 

It is now more important than ever for payer gateway connections to have redundancy in light of recent cyber threats on large healthcare clearinghouses. The vulnerability of centralized systems was highlighted by the recent breakdown of the Change Healthcare clearinghouse, which processes an astounding 50% of medical claims in the United States. Every year, more than 15 billion healthcare transactions occur; therefore, the effects of an outage of this magnitude would be felt by patients, payers, and providers alike.

What then is the fix? It is necessary to establish decentralized communications through multiple clearinghouse connections. This approach guarantees uninterrupted operations even in the event of a power loss while also reducing the risk of late payments. Healthcare systems must place a high priority on scalability and contemporary architecture in order to facilitate smooth transitions between clearinghouses.

Advocates for Preparedness

There are healthcare companies out there that promote redundancy as a means of readiness. The message is obvious in this day of widespread ransomware assaults and cyber threats: be ready and proactive. It is not only wise but also necessary to implement redundant healthcare payment processing systems to protect financial stability and guarantee continuous delivery of care.

Lessons Learned from the Change Healthcare Cyberattack
Source: Orbit Healthcare

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