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

Reduce False Positives in Healthcare Fraud Detection

Part 2 of our series on how the SIU can use artificial intelligence to overcome common challenges. A.I. can reduce the fraud false positive rate to make the most of your limited investigator resources.

Resources

Combating Novel Fraud in the Age of a Novel Virus

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 ...

5 Benefits of Integrating SIU

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 Recent Posts

L.A. Care Webinar

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 ...

L.A. Care Health Plan

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 ...

Recent Podcasts

Scaling Payment Integrity to Accelerate ROI

Scaling Payment Integrity to Accelerate ROI

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 ...
Building Payment Integrity from the Ground Up

Building Payment Integrity from the Ground Up

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 ...