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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A Custom FWA Solution for Smaller Health Plans

Out-of-the-box Fraud, Waste and Abuse solutions just don’t cut it for smaller health plans. If you lead a health plan with fewer than 250k covered lives, you may think you’re out of luck when it ...

Top Trends for Healthcare Payer Technology in 2019

A look at the drivers, restraints, challenges and opportunities for healthcare payer technology in 2019. To view our 2020 industry forecast, click here. It’s 2019: do you know what’s going to ...

Best Practices for Successful Technology Adoption

A look at some of the barriers to successful technology adoption. There must be a method to the madness. New technology solutions appear to be a dime a dozen, and it makes sense to take a ...

Claim Spend – Is It Too High at Your Health Plan?

Examining claim spend cost at health plans, and what kind of ROI can be expected. Controlling claim spend is nearly impossible without system visibility. By that, we simply refer to the access ...

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