ClarisHealth Hires Mark Isbitts as Vice President of Program Integrity

ClarisHealth Hires Mark Isbitts as Vice President of Program Integrity

25-year industry veteran will extend ClarisHealth’s strategic direction in growing and building market-leading technology solutions for health plans.

NASHVILLE, Tenn., July 2, 2019 – ClarisHealth, a leading provider of advanced payment integrity technology for health plans, hired Mark Isbitts as Vice President of Program Integrity. Isbitts will  create and launch new products, increase market awareness, position products and cultivate market opportunities.

Isbitts brings with him over 25 years experience in healthcare, including 15 years in product management leadership. He has worked for some of the leading healthcare Payment Integrity vendors where he launched several new products into the market. 

In his roles immediately prior to joining ClarisHealth, Isbitts helped several mid- to large clients in the healthcare payer technology space with their product management and ideation processes, go to market strategy and overall positioning, and led a team that managed a product portfolio of over $155 million.

“We’re very excited to have Mark on board,” says Jeff McNeese, CEO of ClarisHealth. “His depth of experience, knowledge and product management capabilities will complement our growing team of seasoned executives and help us deliver on new products and solutions to our expanding base of health plan clients.”

Isbitts holds a B.S. from the University of Michigan and a Master’s in Healthcare Administration from Mercer University. He lives in the greater Atlanta area with his family.

“ClarisHealth is on the forefront of technology-enabled payment integrity and FWA solutions,” says Isbitts. “In many respects, the company is charting a new course for how these services have historically been delivered. I very much look forward to helping ClarisHealth deliver one-of-a-kind solutions that help health plans maximize medical savings most cost effectively.”

About ClarisHealth

ClarisHealth is the answer to the health plan industry’s siloed solutions and traditional models for identification and overpayment recovery services. We provide health plans and payers with total visibility into payment integrity operations through our advanced cost containment technology Pareo®. Pareo®enables health plans to maximize avoidance and recoveries at the most optimized cost for a 10x return on their software investment. For more information please contact us via the button below.

 

ClarisHealth Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture and Meet Compliance Requirements

ClarisHealth Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture and Meet Compliance Requirements

HITRUST CSF Certification validates ClarisHealth is committed to meeting key regulations and protecting sensitive information.

NASHVILLE, Tenn., April 17, 2019 – ClarisHealth, a leading provider of advanced payment integrity technology for health plans, today announced its solution Pareo® and supporting infrastructure has earned Certified status for information security by HITRUST.

HITRUST CSF Certified status demonstrates that the organization’s payment integrity solution Pareo® has met key regulatory requirements and industry-defined requirements and is appropriately managing risk. This achievement places ClarisHealth in an elite group of organizations worldwide that have earned this certification.

“ClarisHealth is committed to achieving the highest levels of data security and regulatory compliance with respect to sensitive healthcare information,” says Jim Weathersby, chief technology officer for ClarisHealth. “Nowhere is this more evident than our achievement of the HITRUST CSF Certification. This certification is the gold standard when it comes to sensitive information protection and we are very pleased to offer this added level of assurance for our customers.”

By including federal and state regulations, standards and frameworks, and incorporating a risk-based approach, the HITRUST CSF helps organizations address these challenges through a comprehensive and flexible framework of prescriptive and scalable security controls.

“HITRUST has been working with the industry to ensure the appropriate information protection requirements are met when sensitive information is accessed or stored in a cloud environment. By taking the steps necessary to obtain HITRUST CSF Certified status, ClarisHealth is distinguished as an organization that people can count on to keep their information safe,” said Ken Vander Wal, Chief Compliance Officer, HITRUST.

About ClarisHealth

ClarisHealth is the answer to the health plan industry’s siloed solutions and traditional models for identification and overpayment recovery services. We provide health plans and payers with total visibility into payment integrity operations through our advanced cost containment technology Pareo®. Pareo®enables health plans to maximize avoidance and recoveries at the most optimized cost for a 10x return on their software investment. 

Talk to ClarisHealth about how Pareo® can transform your health plan’s payment integrity operations.

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By Any Other Name: Sante Analytics Now Known as ClarisHealth

By Any Other Name: Sante Analytics Now Known as ClarisHealth

 

Technology Company Focused on Total Payment Integrity for Health Plans, Providers and Third-Party Administrators

NASHVILLE, Tenn., Oct. 2, 2017 – Santé Analytics announced today that they will now be known as ClarisHealth. The change comes as they re-launch their innovative technology platform, Pareo™, to better serve their health plan, provider and third-party administrator clients.

ClarisHealth COO Jeff McNeese explains that in today’s complex healthcare market of expanding regulation and declining revenues, stakeholders are looking for innovative ways to grow and compete.

“When leadership says grow your department’s revenue by $20 million next year without adding any personnel, you need a truly transformative change and a partner that’s going to help you navigate those changes every step of the way,” says McNeese.

Payers, providers and third-party administrators have historically relied upon a saturated vendor market to optimize their revenue goals. Thanks to cutting-edge technology innovations, ClarisHealth is able to help payment integrity executives solve the challenges of audit and recovery with minimal negative impact on the organization.

“Being charged with doing more with less is nothing new for the market we serve,” McNeese continues. “But simply adding another vendor to the mix is not enough to measurably impact the bottom line.”

McNeese has the experience and data to back up his claims. ClarisHealth conducted surveys of two national health plans, four BC/BS plans and three regional plans examining payment integrity returns on claim spend. Results ranged from 1.2% to 7% return on claim spend. The key difference was the presence or absence of technology solutions that allowed for scale.

“Our clients are able to decrease medical expenses 3-5%, lower administrative costs 2-4%, and increase vendor efficiency 30%,” says ClarisHealth CTO Jim Weathersby. “That’s a ten-fold return on their investment in Pareo™.”

Health plan, provider and third-party administrator executives and department leaders are invited to see Pareo™ in action in a risk-free live demonstration. Sign up here for a convenient date and time.

About ClarisHealth
Founded by leaders who were instrumental in the development of the cost containment industry, ClarisHealth was created to challenge the payer industry’s traditional models for identification and recovery services. Their technology platform, Pareo™, is a comprehensive solution that fosters visibility and transparency across the entire payment integrity ecosystem for all stakeholders, including third-party service providers, and also transforms credit balance operations for healthcare providers. Their Total Payment Integrity™ approach provides a unique combination of technology, services and expertise. For more information, visit www.clarishealth.com or call (844) 880-6706.