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
Category
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 ...
Go beyond the basics with a payer-provider portal that drives engagement and decreases costs.
How would you characterize the health of your relationships with network providers? If yours is like ...
Use these tech-enabled tips to comprehensively reduce FWA.
States require MCOs to take proactive measures that reduce not just fraud, but also waste and abuse. But how can you ensure your ...
The 2020 presidential election is upon us, and the debate surrounding healthcare and politics is more contentious than ever. How can your health plan stay ahead of the game, no matter the ...
In part 2 of our series we outline exactly what health plans should look for in an advanced technology platform for clinical audit
Paying claims right the first time – while making the most of ...
Listen to this conversation about building the right team and technology to help health plans tackle their entire payment integrity continuum.
ClarisHealth CEO Jeff McNeese sat down with Steve ...
Are better-than-expected medical loss ratios in 2020 setting up payers to take a severe hit on profit margins in 2021? Go on offense by making moves that feature these 4 risk-mitigating ...
Slim margins, fewer resources, and consolidation have made it harder for health plans to compete. Could balancing outsource vs insource efforts accelerate their goals?
With shrinking margins, ...
Take this interactive self-assessment to evaluate your current SIU successes and determine your health plan’s need for advanced technology to level up your fraud, waste and abuse mitigation ...
Resources
5 Benefits of Integrating SIU with Payment Integrity
A webinar with Mark Isbitts, VP of Program Integrity and Jason Medlin, VP of Marketing and Business Development
Jason Medlin: “Healthcare ...
A free on-demand event for health plan executives
How to double your recoveries in 6 months without damaging relationships with providers and members.
Created for your busy schedule, join this ...
How did the nation’s largest public health plan double their recoveries in just one year? When L.A. Care Health Plan’s membership doubled, their cost containment processes needed to run to catch ...
Enjoy our on-demand case study presentation.
What does total payment integrity look like once implemented? To answer that question, we invite you to view “Bringing Total Payment Integrity to ...
Recent Podcasts
Season 1: Episode 4 - With your health plan’s goals around digital transformation and the increasing number of technology choices available to you, you may start to ask yourself: Are you doing ...
Season 1: Episode 3 - With your health plan’s goals around digital transformation and the increasing number of technology choices available to you, you may start to ask yourself: Are you doing ...
Season 1: Episode 2 - How exactly does advanced technology help health plans innovate? In this episode, ClarisHealth payment integrity experts Jim Weathersby, Michael Gilbertson and Jason Medlin ...
