Achieving Program Integrity for Health Care Cost Containment Operations

White Paper

Achieving Program Integrity for Health Care Cost Containment Operations

Using analytics to transform health care costs for payer programs


Health insurers have long been plagued by issues of fraud, waste, abuse, error and corruption. Taking an enterprise approach to payment integrity – one that combines advanced data management and sophisticated analytics – can help payers detect and prevent fraud; effect positive change in how providers, employees and patients behave; and substantially reduce health care costs. Payers can achieve better outcomes when software support for the core disciplines of payment integrity run on a single platform.

Back to Top