Want to maximize your health plan’s recoveries? Of course you do. Here’s how.
Download “Top 10 Ways to Maximize Your Health Plan’s Recoveries” infographic here.
What are the top 10 ways a health plan can maximize their recoveries?
Based on conversations with health plans across the nation, below is our roadmap to maximizing your recoveries. These ideas are likely familiar to you, even obvious. But, by leveraging the power of advanced payment integrity technology to put these solutions into play, health plans can grow their rate of recovery from an industry-average 1.2% to 7% or greater.
1. Simplify processes.
2. Add third-party vendors, stacked to greatest effectiveness.
Most health plans realize the benefits a third-party business partner brings to the table. The issue, however, is managing multiple vendors. With the right technology, health plans can easily onboard multiple third-party vendors and stack their focused expertise to optimize effectiveness.
“Pareo® makes onboarding new vendors much easier for health plans, and greatly streamlines the vendor effort needed to receive claim files, submit audits, and get real-time feedback on denials.”
3. Minimize provider abrasion.
4. Fast-track concept innovation.
5. Integrate internal efforts.
6. Improve provider engagement.
“Health plans are increasingly interested in the Pareo® provider engagement module’s ability to streamline financial transaction management between payer and provider and significantly reduce friction inherent in traditional, paper-based methods.”
7. Expand internal capabilities.
8. Don’t overlook waste while looking for fraud and abuse.
9. Focus on prevention.
10. Embrace advanced technology.
Talk to ClarisHealth about how Pareo® can transform your health plan’s payment integrity operations.
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