Payment Integrity Perspectives: how health plans innovate

How do health plans use technology to overcome specific payment integrity challenges? Each season, ClarisHealth experts follow a health plan on their “hero’s journey” as they work through a knotty problem to arrive at an innovative solution. Through these relatable stories, you will find the inspiration in your own health plan’s day-to-day and understand how to achieve transformation with the right technology.

Episodes

New episodes added weekly.

Introducing Payment Integrity Perspectives, A New Podcast from ClarisHealth

Introducing Payment Integrity Perspectives, A New Podcast from ClarisHealth

Season 1 Trailer - In this teaser, host Amanda Bair (ClarisHealth) features insights from company leaders to offer a unique perspective on payment accuracy by looking at the problems modern health plans are facing.
Why ClarisHealth? Telling the story about how health plans innovate.

Why ClarisHealth? Telling the story about how health plans innovate.

Season 1: Episode 1 - Why is ClarisHealth telling the story about how health plans innovate? In this episode Jeff McNeese, Tara Dufrene and Ryan Nowers tell about the origins and early days at the company. How they started helping health plans solve their biggest challenges with payment integrity technology and what the future looks like for healthcare innovation.
The Value of Transparency for Health Plan Technology

The Value of Transparency for Health Plan Technology

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 discuss the value of transparency. How sharing information between health plan internal payment integrity functions, third-party services vendors and other stakeholders fosters a free flow of ideas. As a result, payers experience greater returns and can more easily capitalize on other opportunities for innovation.
Technology to Answer Your Innovation Goals

Technology to Answer Your Innovation Goals

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 enough to innovate? Healthcare is only increasing in complexity, so the longer you wait to start, the more out of reach success can seem.
Reduce Your Health Plan’s Risk When Selecting Advanced Technology

Reduce Your Health Plan’s Risk When Selecting Advanced Technology

Season 1: Episode 4 - How can health plans evaluate the increasing number of technology choices available to them and find a partner to match their vision - without taking on unnecessary risk? In this episode, experienced payment integrity leader Ben Roberts explains how transparency, flexibility and comprehensive solution offerings set some vendors apart.
How Can Technology Help Health Plans Navigate Complexity?

How Can Technology Help Health Plans Navigate Complexity?

Season 1: Episode 5 - Technology solutions are often the cornerstone of a health plan’s innovation journey. But, as you build your technology stack, ask yourself: Is it simplifying your existing burden? Or, adding even more complexity to your organization and processes? Every step along the way, technology can either pave the way for innovation or split your focus. In this episode ClarisHealth experts Stacey Parker, Tanner Plauche and Misty Ganguly explore how a payment integrity platform’s architecture, development and implementation can help you better navigate complexity.
The Importance of Partnership When Adopting Technology

The Importance of Partnership When Adopting Technology

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 experts Kenya Adams, Mattie Stremic, Stacey Parker and Christie Hill explore how partnering with clients throughout the relationship can make all the difference.
How Highmark Uses Pareo for an Integrated Approach to Claims Cost Containment

How Highmark Uses Pareo for an Integrated Approach to Claims Cost Containment

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 Investigation and Provider Review for Highmark, reveals the role Pareo has played in their success.