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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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 ...
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 ...
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.
News
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Technology industry veteran joins executive team to lead financial strategy supporting growth of Pareo®, the only integrated payment integrity operating system for health plans. In this chief ...
Payment Integrity industry's first integrated ecosystem set to accelerate value delivery and reduce administrative complexity in $9B market. Groundbreaking offering addresses the growing ...
ClarisHealth, provider of the leading integrated payment integrity technology platform for health plans, announced a strategic partnership with Expion Health. ClarisHealth is pre-integrating ...
Power of Payment Integrity, the industry’s only all-payment integrity, no-sales pressure conference, returns to Nashville, Tenn., April 21-23, 2025. The two-day educational event is free for ...
ClarisHealth, provider of the industry’s only integrated payment integrity technology platform for health plans in elite group of consecutive-year honorees on the Inc. 5000.
ClarisHealth, provider of the industry’s only integrated payment integrity technology platform, awarded on the Financial Times Americas' Fastest Growing Companies 2024 List for the second time.
Resources
Get access to the latest payment integrity solutions research. Everest Group's Payment Integrity Solutions PEAK Matrix Assessment analyzes 18 leading payment integrity solutions providers. The ...
In this on-demand executive strategy session, payment integrity experts will show in just 30 minutes how modern payers are structuring their programs to DIY their way to innovative strategies ...
ClarisHealth looks forward to connecting with FWA innovators like you at the NHCAA Annual Training Conference taking place in Dallas November 6-9, 2023. Answer this one-question survey about how ...
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 ...
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 ...
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 ...