Measuring the Value of Payment Integrity
Season 2: Episode 4
One of the primary reasons health plans seek digital transformation is for its potential as a more reliable source of information and insights. L.A. Care Health Plan was no exception, but the stakes were even higher. Because the payment integrity function was relatively new, they were under arguably greater pressure to increase visibility and definitively prove their value and impact.
In this episode, Erik Chase, Gladys Oswell and Shonnie Davis tell of how their value and focus evolves over time as their function matures and how they’re collaborating cross-functionally to share those insights via Pareo.Â
Joined by Coy Page, Dana Ryan and Jeff McNeese of ClarisHealth who discuss the value of insights and analytics in a health plan’s ability to measure the success of their strategy — and move their payment integrity program forward.
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 ...
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 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 ...
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 ...
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? ...
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 ...
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 ...
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 ...
Introducing L.A. Care Health Plan
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 – ...
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 ...
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 ...
Harnessing the Innovation of Payment Integrity Services Vendors
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 ...
3 Elements Needed to Internalize Payment Integrity
Season 2: Episode 5 - Third-party services vendors have been important to L.A. Care Health Plan's journey of payment integrity transformation. But their ultimate goal will be familiar to most ...
A Vision for Payment Integrity
Season 2: Episode 6 - This season, as we have followed L.A. Care Health Plan's journey building a payment integrity function from the ground up, we've seen them go from a few thousand in ...