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

Modernizing the SIU to Combat Healthcare FWA

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 ...

Resources

A.I. for Healthcare Fraud Detection

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.

Recent Podcasts

A Vision for Payment Integrity

A Vision for Payment Integrity

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 ...
3 Elements Needed to Internalize Payment Integrity

3 Elements Needed to Internalize Payment Integrity

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 ...
Measuring the Value of Payment Integrity

Measuring the Value of Payment Integrity

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 ...