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.
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Beyond Disruption: 5 Strategies Every Health Plan Needs for 2026
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.
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.
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.
ClarisHealth Recognized By Gartner For Prospective Payment Integrity
ClarisHealth Recognized as Sample Vendor Offering Prospective Payment Integrity Solutions in Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2021.
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...
6 Steps to a Successful Prepay Strategy
Health plans can take control of their own prospective provider audits instead of over-relying on services vendors with the help of advanced technology and access to proven analytics. We’ve written before about why it’s important for health plans to start thinking...
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...
Coronavirus Boosts Telehealth Adoption
The COVID-19 pandemic prompts payers to encourage the shift to telehealth, a move supported by patients and providers. How will this change the future of healthcare delivery? The novel coronavirus stopped traditional healthcare in its tracks, but there’s one bright...