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.
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Healthcare technology delivery veteran joins senior leadership team to scale adoption of enterprise payment integrity platform for health plans. As Chief Operating Officer, Eeds is excited to ...
ClarisHealth, provider of the industry-leading payment integrity technology platform Pareo®, today announced it ranked for the fourth year in a row on the Inc. 5000. ClarisHealth attributes its ...
Artificial Intelligence is making the leap from much-hyped “trend” for healthcare technology to more widespread adoption. Here’s what A.I. is — and isn’t — and how health plans are proving its ...
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.
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 ...
ClarisHealth, provider of the industry-leading payment integrity technology platform Pareo®, today announced it ranked for the second year in a row on the third annual Inc. 5000 Regionals: ...
In an industry that has struggled to quickly and meaningfully address healthcare claims payment accuracy, digital transformation once again proves its value. How can payers best take advantage ...
What can your Medicaid MCO do to prepare for this year and beyond?
Medicaid managed care organizations are continually in a balancing act, facing tighter-than-average budgets, political ...
What is on the horizon for healthcare payer technology in 2023? Reviewing the trending drivers, restraints, challenges and opportunities so health plans can innovate while minimizing risk.
Resources
ClarisHealth presents 10 years of innovation in Payment Integrity. As told by members of Team ClarisHealth to commemorate our tenth anniversary, here are our stories about bringing innovative ...
Power of Pareo Conference is exclusively for payment integrity innovators. Designed to foster community among health plan leaders and optimize use of the Pareo payment integrity and FWA ...
ClarisHealth looks forward to connecting with FWA innovators like you at the NHCAA Annual Training Conference taking place in Orlando November 15-18, 2022. Answer this one-question survey about ...
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 ...
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 ...
Are your third-party services vendors getting you any closer to a payment integrity mix that prioritizes internal, prepay audits?
Combating Novel Fraud in the Age of a Novel Virus
ClarisHealth VP of Program Integrity Mark Isbitts joins VP of Marketing and Business Development Jason Medlin to offer 6 steps your health plan ...
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 ...