Industry Challenges

	More than $250 billion in overpayments in healthcare annually – overpayments include: missed PPO discounts, duplicate payments, TPL payments, Coordination of Benefits issues, upcoded, unbundled payments, billing errors, adjudication errors, payments to aberrant or abusive provider billings, etc.
	Double-digit health care cost increases last six years. This trend is expected to continue through 2007.
	Annual stop-loss premium increases driving demand for cost containment solutions.
	Prescription drug costs have increased an average of 18% the past three years.
	Trend toward more cost-shifting to employees, increasing consumer out-of-pocket health expenditures.
	Claims systems not managing risk and payment integrity effectively.
	HIPAA increases demand for electronically integrating claims transactions.
	Increase in auto adjudication creates need for independent third party validation.