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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ClarisHealth Recognized as Sample Vendor Offering Prospective Payment Integrity Solutions in Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2021.
Inc. magazine today revealed that ClarisHealth, leading provider of payment integrity technology for health plans, is No. 1941 on its annual Inc. 5000 list.
With advanced technology, health plans can take control of their medical claims audits while achieving high ROI. Here's how.
Leading provider of technology platform for health plans one of 8 honorees selected for annual Nashville business award.
ClarisHealth is honored to be declared a winner of the 2021 Nashville ...
What steps should your health plan take to ensure you get the most value from your services vendors and payment integrity efforts in the face of vendor consolidation?
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.
Payment integrity evolves into a more strategic function for health plans in order to reduce overall healthcare expense. Prepay drives greater cost savings but can be difficult to achieve. Here, ...
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 ...
Look out for these 4 elements of payment integrity that may negatively impact provider NPS (net promoter scores) with your network providers.
The Net Promoter Score (NPS) – an established metric ...
Resources
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 ...
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The ultimate guide to why health plans are stuck at 1-2% return on claim spend and what you can do about it.
(made especially for spinning-their-wheels payment integrity ...
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
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 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 ...