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 unsolicited recoveries to $131 million in annual overpayment avoidance and recoveries in just a few short years. That’s a triumph by any measure. But if you’ve learned anything from the L.A. Care team, you might have guessed that isn’t the pinnacle of their ambition. As they look back on how far they’ve come and look forward to their next challenge, they still have their focus firmly planted on a vision for a fully mature payment integrity function.
In this episode, Shonnie Davis, Gladys Oswell and Erik Chase tell of how they’re incorporating more of the organization and sharing their insights in order to shift more to overpayment prevention.
Joined by Yaw Agyemang, Jeff McNeese, Dana Ryan and Andrew Walters of ClarisHealth who discuss the value of partnership, focused goals and starting small to achieve big gains.
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