Insights

A stagnant payment integrity program can quietly erode accuracy, increase abrasion, and leave major recoveries undiscovered. This insight outlines the hidden warning signs—rising provider friction, growing manual workload, and vendors who only catch low-value issues—and explains what a high-attention, auditor-led PI partner should deliver to help plans recover more, improve processes, and reduce long-term leakage.

New York’s HCRA taxes increased sharply in 2020—even though elective procedures plummeted and Medicaid enrollment rose—because the tax code is so complex that payors and providers routinely misapply it. This article explores why HCRA revenue keeps climbing and why the system urgently needs reform.

New York’s Health Care Reform Act (HCRA) is so complex that payors, providers, and self-insured employers routinely overpay surcharges they were never obligated to pay. In this article, Penstock VP Jeff Snyder explains how exemptions, documentation gaps, and State audit pressures lead to millions in avoidable assessments—and how proactive audits protect payors.