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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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 ...
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.
With advanced technology, health plans can take control of their medical claims audits while achieving high ROI. Here's how.
News
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ClarisHealth, provider of the industry-leading payment integrity technology platform Pareo®, today announced it ranked No. 485 on the Deloitte Technology Fast 500™, a ranking of the 500 ...
Pareo®, the industry’s leading payment integrity platform for health plans, reveals efficiencies and improved claims overpayment identifications and recoveries year-over-year, according to an ...
ClarisHealth, provider of industry-leading payment integrity technology for health plans, today announced that Tate McDaniel joined the company's senior leadership team as chief revenue officer. ...
ClarisHealth, provider of industry-leading payment integrity technology for health plans, today announced the Pareo® platform has earned Certified status for information security by HITRUST. ...
Today, Inc. revealed that ClarisHealth, provider of the industry’s leading payment integrity platform for health plans, is No. 2362 on the 2022 Inc. 5000 list. This is the third year running ...
ClarisHealth, leading provider of payment integrity technology for health plans, today announced it is No. 251 on the Financial Times' list of the fastest growing companies in the Americas for 2022.
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 ...
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 3 - We can't tell the story of L.A. Care Health Plan's accelerated path to payment integrity results without talking about the efforts of services vendors. Even with their ...
Season 2: Episode 2 - When the L.A. Care Health Plan payment integrity team looks at how far they’ve come in 4 short years, the differences are startling. Their early success made the case for ...
Season 2: Episode 1 - On their way to achieving an annual $131 million recovery rate, L.A. Care Health Plan had to build their team, onboard and manage vendors, and acquire a technology solution ...