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 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 resources.

Joined by Jeff McNeese, Cassie Bishop, Coy Page and Andrew Walters of ClarisHealth who discuss the value of the “outsource to insource” strategy and how health plans can engage in a non-traditional vendor relationship focused on root-cause remediation.

Guests:

L.A. Care: Erik Chase, Shonnie Davis

ClarisHealth: Jeff McNeese, Cassie Bishop, Coy Page, Andrew Walters

Harnessing the Innovation of Payment Integrity Services Vendors

Payment Integrity Perspectives: how health plans innovateBy ClarisHealthNov 01, 2021