Industry Insights & Expertise
Access insights and perspectives from our team of payment integrity and FWA experts. Our podcast ‘Payment Integrity Perspectives’ features innovators and thought leaders who share a common goal to transform health plan engagement.
Articles
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Reviewing the drivers, restraints, challenges and opportunities for healthcare payer technology in 2022.
A year ago, as 2020 turned to 2021, we were looking forward to a fresh new year filled ...
ClarisHealth, leading provider of payment integrity technology for health plans, today announced it ranked No. 462 on the Deloitte Technology Fast 500™, a ranking of the 500 fastest-growing ...
For more than a decade, the SIU has relied on reactive business models. But with the rapid gains that artificial intelligence has made, health plans are beginning to embrace more adaptive ...
With the ever-changing outlook of the payment integrity industry, now is the time to get ahead by making strategic investments in change.
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 ...
ClarisHealth Recognized as Sample Vendor Offering Prospective Payment Integrity Solutions in Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2021.
Inc. magazine today revealed that ClarisHealth, leading provider of payment integrity technology for health plans, is No. 1941 on its annual Inc. 5000 list.
With advanced technology, health plans can take control of their medical claims audits while achieving high ROI. Here's how.
Leading provider of technology platform for health plans one of 8 honorees selected for annual Nashville business award.
ClarisHealth is honored to be declared a winner of the 2021 Nashville ...
Resources
In this on-demand webinar, Karen Wright of Blue Cross of Idaho will share how her organization is preparing for the future by building a modern SIU that relies on proactive and adaptive business ...
Evolent’s vendor management function had already seen success with the Pareo technology platform, engaging with ClarisHealth was a logical first step to the challenges their SIU was ...
Off the shelf, Pareo met the 500 capabilities Blue Cross Blue Shield of Michigan required in order to modernize their payment integrity system.
In this on-demand webinar, Kurt Spear of Highmark Blue Cross Blue Shield demonstrates how they adopted and continue to scale their use of Pareo to realize their vision for improved efficiency, ...
Download our FREE technology adoption whitepaper, filled with insights from payment integrity leaders.Access the ultimate guide for health plans seeking digital transformation.
In this in-depth ...
In this on-demand webinar, Mark Isbitts, VP of Program Integrity at ClarisHealth discusses how you can use A.I. for healthcare fraud detection to answer SIU questions.
Are your third-party services vendors getting you any closer to a payment integrity mix that prioritizes internal, prepay audits?
Now that advanced solutions that harness the power of artificial intelligence have emerged for fraud detection, is it the right solution for your organization to hit escalating fraud recovery ...
In partnership with NHCAA, ClarisHealth hosted a live educational webinar to talk with health plan fraud teams about how advanced technology - specifically solutions that employ artificial ...
Recent Podcasts
Season 2: Episode 6 - This season, as we have followed L.A. Care Health Plan's journey building a payment integrity function from the ground up, we've seen them go from a few thousand in ...
Season 2: Episode 5 - Third-party services vendors have been important to L.A. Care Health Plan's journey of payment integrity transformation. But their ultimate goal will be familiar to most ...
Season 2: Episode 4 - One of the primary reasons health plans seek digital transformation is for its potential as a more reliable source of information and insights. L.A. Care Health Plan was no ...