| Policy Intelligence Axis uses AI to make Commercial and Medicare policies easy to find and easy to understand. Instead of navigating different payer sites and formats, your team gets one place to search, compare, and review policies with clear explanations they can act on.
Payer complexity isn’t slowing down, and understanding it is essential for protecting revenue and keeping care moving. These brief highlights showcase the trends shaping today’s payer landscape—and how AXIS Policy Intelligence helps you stay ahead of them.
Recent payer-policy challenge news
AI-Driven Prior Authorization Denials
Source: Investopedia
Investopedia explains how Medicare Advantage plans are using AI and automation in prior authorization, leading to fast but often inappropriate denials of post-acute and rehab care. Algorithm-driven decisions block medically necessary services and add yet another layer of complexity for hospitals to manage.
KFF: Insurer Denial Rates Keep Rising
Source: KFF
KFF reports large variation in how often insurers deny claims, especially in marketplace and Medicare Advantage plans. The analysis shows how opaque denial handling has become and why providers struggle to understand or predict payer behavior, even when services meet policy requirements.
Addressing Commercial Health Plan Challenges
Source: American Hospital Association
The AHA outlines how commercial payer practices—prior authorization delays, unnecessary documentation requests, and aggressive denials—are slowing care and increasing administrative burden. Some systems dedicate dozens of FTEs and millions of dollars a year just to keep up with payer rules, while billions in claims sit delayed or unpaid.