This Q&A with Alex Yanes is part of our Innovators series. Alex explains how empathy, security, and product thinking guide the technology powering modern payment integrity for health plans.
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Innovation
Engineering the Future of Payment Integrity: A Conversation with Alex Yanes, VP of Engineering
2026 Payment Integrity Technology Trends: The Shift From Savings Engine to Enterprise Control
What is on the horizon for healthcare payer technology in 2026? In this annual report, ClarisHealth and industry experts review the trending drivers – and associated opportunities – so health plans can innovate payment integrity while minimizing risk.
From Manual Muscle Memory to Modern Payment Integrity: A Conversation with Dana Ryan, Senior Manager Client Success
This Q&A with Dana Ryan is part of our Innovators series. Dana shares lessons learned from 20+ years helping health plans unlearn old processes, embrace automation, and see ROI from their PI programs.
Consistency Is the New Scalability: A Conversation with Stephanie Gibbons, Vice President Clinical Operations and Internal Audit Management
This Q&A with Steph Gibbons is part of our Innovators series. Steph breaks down the core principles driving her approach to transforming health plan operations including clinical nuance, operational discipline, and a deep respect for the work.
Bridging Product, Data, and Operations: A Conversation with Chandler Wilson, Senior Product Owner
This Q&A with Chandler Wilson is part of our Innovators series. Her 15-years’ experience in payment integrity and healthcare technology brings insights into how aligning systems, people, and strategy in Pareo® helps health plans turn data complexity into operational clarity.
A Lifelong Advocate for Health Plans: A Conversation with Kimberly Fadden, SVP of Client Management
This Q&A with Kimberly Fadden, a 40-year healthcare technology leader, covers payment integrity, client advocacy, and navigating cost pressures with trust and transparency as part of our Innovators series.
Beyond Disruption: 5 Strategies Every Health Plan Needs for 2026
When industry disruption is constant, your strategy needs flexibility. Here’s what successful payment integrity leaders are doing now to prepare for 2026 and beyond.
Behind the Data: A Conversation with Quzonna Reed, Business Systems Analyst
This Q&A with Quzonna Reed, who has worked with ClarisHealth for over six years helping health plans transform their data to power smarter payment integrity with Pareo®, is part of our Innovators series.
Driving the Future of Payment Integrity: A Conversation with Tom Noack, SVP of Product Strategy
This Q&A with Tom Noack, who has deep roots in the community from years of hands-on experience leading PI teams at a top 10 payer – where he was instrumental in bringing on Pareo®is part of our Innovators series.
Reimagining Payment Integrity: How Health Plans Can Optimize Using a Modern Operating System Built for the Future
Are payment integrity strategies stuck in the past? This strategic brief explores 4 concepts health plans can use to update business models and optimize using a modern operating system built for the future.
Power of Payment Integrity Conference Reveals 5 Strategic Insights
Payment integrity leaders from the country’s top health plans came together for the Power of Payment Integrity Conference. They found strength in community, innovative ideas, and 5 powerful themes that will drive progress in the industry.
Buying payment integrity technology: 6 considerations
More health plans see the value in reducing administrative complexity to improve costs and payment accuracy. This step-by-step guide for payment integrity leaders buying enterprise technology ensures you reach those goals.
Payment Integrity Leaders Reveal What Will Move the Industry Forward
Payment integrity leaders from the country’s top health plans take time to collaborate at POP Conference 2024. They find strength in community, innovative ideas, and a focus on 4 primary industry drivers.
Improving Payment Integrity with a Building Blocks Methodology
Payers need a proven framework for payment integrity to create financial value, handle change, and engage at the highest levels of organizational strategy. This 5-step methodology works whether the directive is accelerating growth, building from scratch, or somewhere in between.
Payers Reduce Administrative Costs by Going Back to Basics with Payment Integrity
In the face of economic and hiring constraints, payment integrity leaders are prioritizing these 4 best practices to shift to an enterprise strategy that offers proven value.
Health Plan Leaders Speak Out on Building the Payment Integrity Organization of Tomorrow
Whether or not health plan leaders implement a fully centralized PIO, sharing information on an enterprise payment integrity technology platform helps overcome challenges and meet strategic opportunity.
ClarisHealth Named a Preferred Vendor by the Association for Community Affiliated Plans
ClarisHealth named a preferred vendor by the Association for Community Affiliated Plans, provides unique payment integrity and FWA technology platform for ACAP member Safety Net Health Plan digital transformation goals.
Strategies to Move Your Payment Integrity Program Prospective
Payment integrity evolves into a more strategic function for health plans in order to reduce overall healthcare expense. Prepay drives greater cost savings but can be difficult to achieve. Here, we share strategies that can enable prospective cost avoidance programs...
“The Great Pause” Brings Unyielding Uncertainty to Medical Loss Ratios but Also Opportunity
Are better-than-expected medical loss ratios in 2020 setting up payers to take a severe hit on profit margins in 2021? Go on offense by making moves that feature these 4 risk-mitigating hallmarks. Six months into the novel coronavirus pandemic in the U.S., the crisis...
Health Plans Launch Innovative Solutions to Respond to Mental Health Crisis
Transparent data sharing supports seamless care coordination, relevant outreach that mitigates effects of chronic conditions. The novel coronavirus pandemic continues its near-perfect record as a harsh but effective teacher for the healthcare industry as it...
Healthcare Interoperability Poised to Solve COVID-19’s Big Data Crisis
Coronavirus highlights power of big data and the need for interoperability to improve population health. How can health plans lead the way? What’s the single biggest weapon used by government, pharma, academic researchers, healthcare systems, and health insurers alike...
Your health plan’s best crisis response strategy? Innovation.
Health plans set themselves up for success – during a pandemic and beyond – by pursuing advanced technology to engage providers, satisfy members, and improve population health initiatives. The healthcare system is on the front lines of the novel Coronavirus pandemic,...