I think as the industry moves from a post-pay model, to a pre-pay/real-time model, this antagonistic relationship between providers and payers should slowly improve. Definately not a silver bullet though.
In terms of aligning incentives, there is a lot of potential in shifting from a fee-for-service model to a capitated value-based care model. But this will force further consolidation by provider organizations. Only the largest, most sophisticated multi-specialty health systems have the scale to take on and manage those risks. Small, independent practices will essentially be forced to either sell their businesses or switch to something like concierge medicine.
Nah prior auths (prepay) can get screwed up just as much as claims (postpay) for the same reason.
Sorry, i used some jargon most people don't know. Prepay the way I meant it is not referring to prior auths, but rather pre-adjudication. Not everything can go through a pre-pay process, but I believe most claims can.