Achieving program integrity for health care cost containment

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Achieving program integrity for health care cost containment

How analytics transforms health care costs for payer programs


Health insurers have long been plagued by issues of fraud, waste and abuse. 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. At the same time, payers can achieve better outcomes when solutions supporting the core disciplines of payment integrity run on a single platform.

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