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 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, ...
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 ...
Competing with other health plan functions for technology priority can lead to missed audit claims cost savings potential. An integrated payment integrity strategy breaks down these internal ...
Part 1 of our series on how the SIU can use artificial intelligence to overcome common challenges. Bringing together fraud and payment integrity efforts on a single A.I.-powered platform can ...
News
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ClarisHealth, leading provider of payment integrity technology for health plans, today announced it is No. 51 on Inc. magazine's third annual Inc. 5000 Regionals Southeast list. ClarisHealth is ...
ClarisHealth, leading provider of payment integrity technology for health plans, today announced it has been awarded a spot on the Forbes list of America’s Best Startup Employers 2022 for the ...
ClarisHealth, leading provider of payment integrity technology for health plans, today announced it ranked No. 8 on the list of Largest Healthcare IT Companies in Nashville.
ClarisHealth, leading provider of payment integrity technology for health plans, today announced it ranked No. 462 on the Deloitte Technology Fast 500™, a ranking of the 500 fastest-growing ...
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.
Resources
FREE DOWNLOAD
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: Trailer - This season, we’re following L.A. Care Health Plan who built a payment integrity function from the ground up – with a little help from advanced technology platform Pareo – ...
Season 1: Bonus Episode - How has Highmark Blue Cross Blue Shield achieved an industry-leading 27:1 ROI on their payment accuracy and FWA operations? Listen as Kurt Spear, VP Financial ...
Season 1: Episode 6 - How your technology solution is delivered, and by whom, is a large factor when considering how successful a technology project will be. In this episode, ClarisHealth ...