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 overpayment avoidance and recoveries

3 Elements Needed to Internalize Payment Integrity

Nov 15th, 2021 20m 48s

As we've followed L.A. Care Health Plan's story of payment integrity transformation, they have discussed how important third-party service vendors have been to that journey - especially when combined with the efficiencies, oversight and transpa

Measuring the Value of Payment Integrity

Nov 8th, 2021 14m 52s

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 integri

Harnessing the Innovation of Payment Integrity Services Vendors

Nov 1st, 2021 13m 11s

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 innovative strategies, this traditional approach has played a key role in al

Scaling Payment Integrity to Accelerate ROI

Oct 25th, 2021 14m 49s

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 the work they do. And the efficiencies created by Pareo allow them to go

Building Payment Integrity from the Ground Up

Oct 18th, 2021 15m 20s

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 to enable their expansive vision.In this episode, Erik Chase, Shonnie

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Introducing L.A. Care Health Plan

Oct 11th, 2021 2m 56s

Welcome to a new season of the podcast from ClarisHealth, the leaders in innovative technology for health plans. Payment Integrity Perspectives is designed for health plan leaders and other influencers in and around healthcare who want to innov

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

Mar 30th, 2021 2m 53s

How has Highmark Blue Cross Blue Shield achieved an industry-leading 27:1 ROI on their payment accuracy and FWA operations? Join us for a live webinar on Thursday, April 8 when Kurt Spear, VP Financial Investigation and Provider Review for High

The Importance of Partnership When Adopting Technology

Mar 15th, 2021 11m 26s

As technology buyers, it’s all too easy to get caught up in feature/function evaluations at the expense of other considerations. But is that the only predictor of health plan success?How your technology solution is delivered, and by whom, is a

How Can Technology Help Health Plans Navigate Complexity?

Mar 8th, 2021 11m 20s

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 proces

Reduce Your Health Plan's Risk When Selecting Advanced Technology

Mar 2nd, 2021 12m 3s

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 explain

Technology to Answer Your Innovation Goals

Feb 15th, 2021 15m 9s

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 l

The Value of Transparency for Health Plan Technology

Feb 8th, 2021 16m 1s

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 heal

Why ClarisHealth?

Feb 1st, 2021 12m 33s

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 pa

Trailer

An Introduction to Health Plan Innovation

Jan 25th, 2021 2m 33s

Welcome to a new podcast from ClarisHealth, the leaders in innovative technology for health plans. Payment Integrity Perspectives is designed for health plan leaders and other influencers in and around healthcare who want to innovate.What to e

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