Payment Integrity Perspectives: how health plans innovate

Measuring the Value of Payment Integrity


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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 different, 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.

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.

Guests:

L.A. Care: Erik Chase, Gladys Oswell, Shonnie Davis

ClarisHealth: Coy Page, Dana Ryan, Jeff McNeese

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Payment Integrity Perspectives: how health plans innovateBy ClarisHealth

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