Alivia Analytics

Alivia Analytics is now a proud member of the Population Health Alliance. We are also a sponsor of the PHA 2024 Innovation & Adoption Summit, Oct 23-24, with many of the nation's top healthcare companies attending. Alivia is the industry’s leading payer analytics platform for commercial and government health plans. We reduce healthcare spending and prevent and recover financial losses from fraud, waste, abuse and overpayments. Our #ValueBasedCare solution centers around the Patient-Centered Episode System (PACES) to support 1000+ episodes of care covering nearly 90% of Medicare spending and 80% of commercial medical spending. We provide self-service analysis of your claims data that shortens payer and provider negotiations and lowers costs, with better outcomes. #AI and machine learning are leveraged, coupled with technology, clinical, and medical expertise to provide speed, accuracy, and seamless integration with claims systems. "We are delighted to welcome Alivia to PHA. Payment Integrity powered by AI vitally preserves healthcare dollars to be re-directed where it is needed most at the point of high value care”, said Rose Maljanian Chairman of the Board and Chair Emeritus, Population Health Alliance and Chairman & CEO HealthCAWS. #paymentintegrity #payeranalytics #episodesofcare

Alivia Analytics welcomes Jackie Darrah as Corporate Counsel. More about Jackie… Jackie has extensive expertise as a #healthcare attorney with a unique multi-view perspective representing healthcare technology and data companies, hospitals, physicians, and health systems. Her regulatory and legal counsel support Alivia Analytics’ rapidly evolving business strategy and business development. Prior to joining Alivia, Jackie was Senior Associate General Counsel at Optum, a subsidiary of UnitedHealth Group. She is an Adjunct Professor at Loyola University Chicago School of Law where she also graduated with a Doctor of Law (JD). Jackie is also a graduate of the University of Illinois Springfield with an MA in Healthcare Administration. Jackie is a classically trained chef, voracious reader, avid sports fan, and loves a gathering of family and friends. #welcometotheteam Alivia transforms healthcare payers with superior technology and analytics for #frauddetection, #paymentintegrity, and #dataandITservices

#NAMPI2024 | Thank you to the leaders from Colorado, Utah, and Wyoming for sharing their innovative strategies for Medicaid #programintegrity, benefits of State collaboration, and use of data analytics and technology for fraud prevention. Kim Nguyen, CPC, CPIP, FWA Division Deputy Director / Program Integrity, Personnel & Operations Section Manager at Colorado Department of Health Care Policy and Financing. Gene Cottrell, MBA, CIG, CFE, Inspector General at Utah Office of Inspector General. Andrew Chapin, Medicaid – Program Integrity Section Manager / FWA Module Contract Manager at Wyoming Department of Health. #savings #recoveries #efficiencies #frauddetection #FWA #casemanagement #responsibleAI

Arriving soon in New Orleans for #NAMPI2024. Here’s what you need to know… Hear from Colorado, Utah, and Wyoming as they discuss Strengthening #MedicaidProgramIntegrity Through Regional Collaboration. MON 8/19, 11:30 AM – 12:30 PM @Booth 21 - Fraud Detection analytics featuring FWA Finder with integrated Alivia Case Manager, plus comprehensive Payment Integrity solutions.

Alivia Analytics is a proud sponsor and speaker of #NAMPI2024, the National Association for Medicaid Program Integrity (NAMPI) Conference in New Orleans. EXCLUSIVE SESSION | MON 8/19, 11:30 AM - 12:30 PM Join fellow #programintegrity leaders from Colorado, Utah, and Wyoming as they share innovative strategies and the benefits of their collaboration in Region 8. OUR SOLUTIONS -- Precision Fraud Detection featuring FWA Finder? with integrated Alivia Case Manager? and SIU Services where resources are limited -- Payment Integrity Solutions identify new recoveries missed by legacy vendors, deliver actionable pre- and post-pay analytics, and offer automated pre-pay corrections (Claims Editing, Clinical Reviews, COB, Data Mining) [Private Meeting Room MON & TUE + Daily Demos at Booth #21] Visit our NAMPI event page for more details: https://lnkd.in/eq96C3zg See you in New Orleans! #savings #recoveries #efficiencies #frauddetection #FWA #casemanagement #responsibleAI #SIUservices #paymentintegrity #claimsediting #clinicalreviews #MCOinsights #datamining

#NAMPI2024 Join fellow #programintegrity leaders from Colorado, Utah, and Wyoming as they share innovative strategies for program integrity and the benefits of their collaboration in Region 8. Alivia Analytics’ CEO Michael Taylor, MD will moderate an informative discussion with: Kim Nguyen, CPC, CPIP, FWA Division Deputy Director / Program Integrity, Personnel & Operations Section Manager at Colorado Department of Health Care Policy and Financing. Gene D. Cottrell, MBA, CIG, CFE, Inspector General at Utah Office of Inspector General. Andrew Chapin, Medicaid – Program Integrity Section Manager / FWA Module Contract Manager at Wyoming Department of Health. MON 8/19, 11:30 AM - 12:30 PM Learn how they use data analytics and technology for fraud prevention, combined with NASPO policy innovations and operational improvements. This session will highlight optimizing regional meetings for greater efficiency, providing actionable insights, and fostering a cooperative environment to enhance Medicaid programs’ effectiveness. Visit our event page for more details about Alivia's participation at NAMPI: https://lnkd.in/eq96C3zg See you in New Orleans! #savings #recoveries #efficiencies #frauddetection #FWA #casemanagement #responsibleAI #SIUservices #paymentintegrity #claimsediting #clinicalreviews #MCOinsights #datamining

#EmployeeSpotlight | Douglas Fezenko -- Doug joined Alivia Analytics in April 2023 as VP of Sales. He has deep roots in #healthcare as a strategist and leader for payers and health plans with an accomplished background in account management and operations with Change Healthcare, EmblemHealth, and Horizon Blue Cross Blue Shield of New Jersey. OUTSIDE OF WORK: Doug grew up in northern New Jersey where he and his wife are raising their son (college) and daughter (high school). He enjoys traveling, camping, and sporting events. He is a graduate of Kutztown University with a master's degree from Rider University.

At the Medicaid Enterprise Systems Conference (MESC), the Alivia team will be discussing its claims technology and analytics for #healthcare payers — Data & IT Services, Fraud Detection, and Payment / Program Integrity. Visit our event page for more details: https://lnkd.in/eTZicv_p? See you at #MESC2024 in Louisville! www.mesconference.org #savings #recoveries #efficiencies #claimssystemmodernization #deidentification #EDW #dataconversions #FWA #casemanagement #responsibleAI #SIUservices #claimsediting #VBC

Alivia Analytics welcomes Holly Tyler as Senior Financial Analyst. More about Holly… Prior to joining Alivia, she held positions such as Manager of Transaction Advisor Services - Healthcare Practice (CFGI) and Team Leader for Equity Research (Bloomberg). Holly grew up in Vermont and is an avid skier and outdoors enthusiast. She is a graduate of the University of Richmond and resides in the Philadelphia area. #welcometotheteam Alivia transforms healthcare payers with superior technology and analytics for #frauddetection, #paymentintegrity, and #dataandITservices

#CelebratingFreedom #Juneteenth #OneAmerica