Where your Total Payment Integrity™ experts share the latest resources, news, and events
Looking for the latest news in technology-enabled services for healthcare insurance claims? Then you’re in the right spot! Review our library of articles and blog posts about everything from payment integrity solutions to software as a service (SaaS) platforms like Pareo® that allow you to get claims right the first time. Questions? Comments? Get in touch with our progressive team of experts today.
A look at the drivers, restraints, challenges and opportunities for healthcare payer technology in 2019. It’s 2019: do you know what’s going to happen in healthcare payer technology this year? We’re taking a thoughtful look into a few healthcare trends to evaluate...read more
It’s almost 2019, and forward-thinking health plans have a choice when it comes to total payment integrity solutions. From smaller regional plans with fewer than 100k members to large national health plans with millions of lives covered, Pareo scales to accommodate...read more
A look at some of the barriers to successful technology adoption. There must be a method to the madness. New technology solutions appear to be a dime a dozen, and it makes sense to take a modular approach to implementation. At least, that’s what our clients are doing....read more
Here’s how payment integrity affects the net provider score (NPS) with providers in your network. Two elements essential to health plan operations all too often find themselves at odds: Health plans put payment integrity processes in place to ensure they are paying...read more
Fraud is different from Waste and Abuse, and most technology solutions don’t adequately address either issue. Think you know how to manage fraud, waste and abuse at your healthcare organization? CMS doesn’t agree. In fact, the promises of change and reform coming from...read more
Keeping your health plan’s providers happy will also keep your members satisfied. Here’s how technology can support your net promoter score with providers. “How likely are you to recommend this health insurer to your business associates?” Do you know how the...read more