3 Elements Needed to Internalize Payment Integrity
Season 2: Episode 5
As we’ve followed L.A. Care Health Plan’s story of payment integrity transformation, they have discussed how important third-party services vendors have been to that journey — especially when combined with the efficiencies, oversight and transparency enabled by the program optimization capabilities in Pareo. But their ultimate goal will be familiar to most health plans. How can they do more overpayment detection and prevention with their own resources?
In this episode, Erik Chase and Shonnie Davis tell of how they have combined technology, internal subject matter experts and outside analytics content to maximize the recoveries initiated by their own auditors and analysts.
Joined by Jeff McNeese, Cassie Bishop, Coy Page and Andrew Walters of ClarisHealth who discuss the value of the “outsource to insource” strategic approach to internalize payment integrity. And how health plans can engage in a non-traditional vendor relationship focused on root-cause remediation.
Introducing Payment Integrity Perspectives, A New Podcast from ClarisHealth
Why ClarisHealth? Telling the story about how health plans innovate.
The Value of Transparency for Health Plan Technology
Technology to Answer Your Innovation Goals
Reduce Your Health Plan’s Risk When Selecting Advanced Technology
How Can Technology Help Health Plans Navigate Complexity?
The Importance of Partnership When Adopting Technology
How Highmark Uses Pareo for an Integrated Approach to Claims Cost Containment
Introducing L.A. Care Health Plan
Building Payment Integrity from the Ground Up
Scaling Payment Integrity to Accelerate ROI
Harnessing the Innovation of Payment Integrity Services Vendors
Measuring the Value of Payment Integrity