CodaHx Logo

Blog

Articles

The latest perspectives from the CodaHx team on payment integrity and member affordability.

Cost ContainmentFeb 10, 20265 min read

Rising Costs and the Case for Data-Driven Risk Management

Healthcare costs are rising at a 15-year high. Here's why predictive analytics and real-time high-cost forecasting have become essential for self-funded employers.

Cost TrendsPredictive AnalyticsRisk Management
Read article
Cost ContainmentJan 20, 20265 min read

The 2026 Price Transparency Rules: What Self-Funded Employers Need to Know

CMS is tightening hospital price transparency enforcement in 2026. Here's what changed, why it matters for self-funded plans, and how to turn public data into savings.

Price TransparencyCMS RulesCompliance
Read article
Claims IntegrityDec 15, 20254 min read

AI in Claims Processing: Moving Beyond Simple Automation

The claims software market is approaching $47B, but most solutions still rely on opaque models. Here's why governance-first, explainable AI is the future of claims integrity.

AIClaims ProcessingGovernance
Read article
Cost ContainmentNov 20, 20255 min read

Coding Errors and Contract Drift: The Quiet Tax on Self-Insured Plans

How much do miscoded claims, bundling misses, and contract drift really cost a self-insured plan—and where to recover dollars fast.

CodingSelf-InsuredPayment Integrity
Read article
AffordabilityNov 10, 20255 min read

Charity Care and Financial Assistance: The Savings Most Plans Miss

Section 501(r) discounts and hospital financial assistance can shave thousands off high-cost cases—if you screen early.

Financial Assistance501(r)Member Advocacy
Read article
Claims IntegrityNov 1, 20256 min read

The Medical Billing Error Playbook: Duplicates, Upcoding, and Drift

A practical guide for self-insured employers to catch billing errors before payment—without slowing TPAs down.

ClaimsPayment IntegrityAI Audits
Read article

Want to see how we catch coding and contract drift?

Share a de-identified claim sample—we'll audit it and walk you through results.

Book a demoContact us