ClarisHealth

Survey says ... Good answer! What better way to wind down another week of serving our #HealthPlan clients than a round of friendly competition? This time, with a game of #FamilyFeud! We sped to buzz in first, we collaborated on our teams - and discovered those "100 people" surveyed are still giving some wild answers 😆 We may be a #RemoteFirst company, but we welcome every chance to connect through our #GotYourBack culture and have fun with our colleagues. Does this sound like a #culture where you could be challenged to do your best work? We're #NowHiring for priority positions. Explore positions and easy apply now at: https://hubs.ly/Q02RMYCV0 #GYB

We are excited to announce a strategic partnership with Expion Health. We are pre-integrating Expion Health into the Pareo® platform to offer enhanced out of network claims management capabilities. This partnership takes us even further in our mission to create a better way to drive claims payment accuracy. As our CEO Jeff McNeese said in the announcement: By pre-integrating Expion Health as a best-in-class services vendor into Pareo, we are able to offer our health plan clients a more comprehensive, efficient and advanced technology ecosystem that accelerates speed to value. This model eliminates the additional IT costs and reduces the implementation times associated with traditional services vendor deployments.” The partnership offers health plans a unique alternative to traditional OON offerings: an “outsource-to-insource” model integrated within Pareo’s broader #PaymentIntegrity ecosystem. #HealthPlans that use Expion realize, on average, $62 to $130 per member per year savings off billed charges for OON claims. Get the full details at https://hubs.ly/Q02R-C1b0

Hello from Indianapolis! There are too few opportunities for #PaymentIntegrity leaders to come together. That's why we're proud to sponsor this event and support continued innovation in the community. We're talking with leaders about how... ☑️ #HealthPlans are managing complex data streams ☑️ #EnterpriseTechnology is helping payers turn payment integrity complexity into clarity ☑️ You can save your seat for the #PowerofPaymentIntegrity Conference Want to hear more? Stop by and see us! Tara Dufrene, Ben Roberts, Kimberly Fadden and Nick Ridings are always up for a conversation.

"I have to cut administrative costs 50% in 2025." That's what a #PaymentIntegrity leader recently told us. And they're not alone. Administrative costs related to PI average $265B annually. With a challenge that big, #HealthPlans are looking for solutions. And savvy leaders are pulling all the value levers at their disposal to cut admin costs in half: 1️⃣ Quantifying the value of outsourced partnerships 2️⃣ Using post-pay recovery data to support a shift to "no touch" prepay savings 3️⃣ Reducing manual processes to support insourcing 4️⃣ Integrating data sources to streamline operations Do you have the basics covered? Check your strategy at https://hubs.ly/Q02RzWbp0 #EnterpriseTechnology

This month's #GotYourBack story is about Stephanie Fields! 💙 Here's what a fellow team member had to say about how she demonstrates #GYB: "Stephanie handles all changes and challenges like an absolute champ. She has a dozen plates spinning. And she keeps them spinning while answering everyone's questions AND remaining a pleasure to work with." Want to learn more about what it's like to work with a team that takes pride in supporting each other - and our #healthplan clients? Explore our #culture at: https://hubs.ly/Q02RjSyS0

We're making a list. We're checking it twice. And we're taking this show on the road - with a brand new look! We love the chance to see our clients and other #healthplan leaders at industry events. And that season is upon us. Next stop... ...Indianapolis! Members of the community are coming together to talk about shared opportunities and challenges in #paymentintegrity. Will we see you there? #sneakpeek

#PaymentIntegrity doesn't have to be an "us vs. them" situation. In fact, highly strategic programs acknowledge and mitigate potential provider impact. Recognizing that both the provider and the #healthplan want to pay claims right the first time. Technology tools that minimize record requests and eliminate overlap are table stakes. But what you're really looking for is a solution that offers less abrasion, more invitation. Being able to provide actionable insights is what creates a true partnership. What does that look like? For example... Detailing the percentage of claims flagged for review. Then, sharing the true positive or findings rate, highlighting problem areas, and providing explanations. You're one step closer to true payment accuracy. #mythbusted

Did you hear the news? Registration for the industry's only peer-led #paymentintegrity conference is now open! #POPConference is returning to Nashville April 21-23. And it promises to be better than ever with ... ☄️ 26 educational sessions across two full days ☄️ Tracks dedicated to administrative cost reduction, audit best practices, cutting-edge technology, stakeholder engagement and data management ☄️ Peer-to-peer networking, workshops, case studies and roundtable discussions ☄️ Closing night celebration of the industry featuring live music overlooking the lights of Broadway As our CEO Jeff McNeese said: "POP Conference is dedicated to payment integrity, focused on thought leadership and free from the sales presentations that plague too many vendor-sponsored events. It’s just industry leaders working together to shape the payment integrity landscape of tomorrow.” Learn more about the event - including how to register - at https://hubs.ly/Q02Qrjnq0 #PowerofPaymentIntegrity

Checking a claim for right member, right coverage, right provider, right cost? Of course! But Payment Integrity has gone way beyond mere compliance. With its ownership of key claims data and provider insights — and impact on administrative costs — #paymentintegrity is no longer a “check the box” function. Instead, these leaders increasingly find themselves seated at the leadership table. Fully connected to the larger organizational strategy and mission. Need to get payment integrity off the sidelines at your #healthplan? The right #datainsights presented in a fresh context will help you tell your full value story AND help executives make informed decisions quickly. #mythbusted