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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Payers are starting to go all-in on social determinants of health, but coordination of care can be complex. A look at how technology can manage these high-impact initiatives.
Already a trend ...
ClarisHealth VP of Program Integrity Mark Isbitts envisions a “better way” to FWA management, announces release of Pareo Fraud at 2019 NHCAA Conference
NASHVILLE, Tenn., October 21, 2019 – At ...
Fraud is different from Waste and Abuse, and most technology solutions don’t adequately address either issue.
Think you know how to manage fraud, waste and abuse at your healthcare ...
As API integration becomes the norm, health plans are learning not all health information technology is created equal.
With the release of the 2015 Edition Final Rule, API integration for ...
Transitioning more payment integrity operations to internal prepay is more than just a pipe dream for health plans
Transitioning prepay. It’s the holy grail for health plans — and viewed as ...
Why a consumer-first mentality may be the best way to comply with Information Blocking rules.
If we were to ask you what your health plan’s digital strategy is, would you have a ready answer? ...
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