ClarisHealth

Does #PaymentIntegrity have to negatively impact providers? Lisa Lotz of Premera sees things a bit differently. When she thinks about her vital role at the #HealthPlan, she thinks about coming together to solve problems: "The relationship between providers and payers, historically, has been somewhat of an adversarial relationship. But if you go to them and say, 'Let's look at this problem statement, and come up with a solution where we're taking into account everybody's viewpoint.' That seems to bring people together." What brings meaning to your day-to-day? This connection between stakeholder impact and the value of the industry is a big focus of the 2025 #PowerofPaymentIntegrity Conference. Check out the agenda and save your seat at https://hubs.ly/Q02YWH-B0 #POPConference #MeaningofPaymentIntegrity

Are you at the National Health Care Anti-Fraud Association Annual Training Conference in New Orleans? This event is just getting started, and we're having a great time connecting with clients and old friends in the industry - and some new faces, too! Let's connect while you're here. Are you a payment accuracy super star, master mind, or total techie? Visit us at booth 416 to add some flair to your badge so you can make sure everyone knows. #ATC2024

New booth, who dis? Come see me in New Orleans!

When we say the #PowerofPaymentIntegrity Conference is the industry's only peer-led event, we mean it. The latest agenda for POP Conference is hot off the presses, and it has some real gems for and featuring #PaymentIntegrity leaders. April 21-23, 2025, in Nashville is the ONLY place for #HealthPlans to hear directly from your peers: ?? The latest industry research ?? Real-world case studies ?? In-depth explorations of payment integrity's past and future With these thought leaders and their stories on the agenda, space is filling up fast. So don't wait. View the agenda and save your seat today: https://hubs.ly/Q02YFsYQ0 #POPConference

They speak business, technical, design, management, QA, and client languages. They know how to create documentation that tells a product story. And they got together for some #officetime to collaborate on some projects, plan for 2025 and celebrate a team member's impending arrival. It's our Business Analyst team! One thing's for certain: developing and delivering the Pareo #PaymentIntegrity platform doesn't work without them. We may be a #remotefirst company, but we value those face-to-face opportunities, too ??

With medical costs rising, #MedicaidMCOs can't afford to let audit programs under-perform. And that's exactly the direction Kern Health Systems' high-dollar claims review vendor was going: Only a few audits per year – and even fewer collections. “It was really status quo,” said the Senior Claims Director. So they found a new #PaymentIntegrity partner with a technology-first solution. And they went from $0 in high-dollar overpayment identifications to $3M in the first 9 months. Could this model work for your #HealthPlan? Read the full story at https://hubs.ly/Q02X_2vJ0 #CaseStudy

ClarisHealth is proud to be a sponsor of the National Health Care Anti-Fraud Association Annual Training Conference taking place in New Orleans next week, November 19-22. We can't wait to connect with our clients and other innovative #healthplans for networking and informative sessions that prepare us for the future of healthcare. Want to know how #enterprisetechnology is helping payers turn #paymentintegrity complexity into clarity? Stop by and see us at booth 416. We're always up for a conversation. #ATC2024

Today we honor the #veterans on Team ClarisHealth, at our partner #healthplans and across this country. We remember their dedication and sacrifices and those of their families. And we thank you for your service. #VeteransDay #GotYourBack

Need to improve medical cost savings? Optimize recoveries. Kern Health Systems has their eye on expanding programs. But their high-dollar claims review vendor wasn't pulling their weight. “I knew we were missing savings opportunity. Something needed to be done.” So they found a new partner with a technology-first solution. And they went from $0 in high-dollar overpayment identifications to $3M in the first 9 months. Results like that can really make an impact for #MedicaidMCOs that are experiencing serious medical cost pressures. While rate increase improvements will reach record levels this year, they remain inadequate to cover cost trend that is in the range of 3-5x historical averages. Could this model work for your #HealthPlan? Read the full story at https://hubs.ly/Q02Xd2Tv0 #CaseStudy

This week, we sponsored another great Texas Covered Conference with the Texas Association of Health Plans in Austin. We networked with innovative #healthplan leaders. We talked about a better way for #paymentintegrity. (Which looks like those leaders having the end-to-end visibility they need to fully control their strategies.) And from where we're standing... ...the best is yet to come for this industry. Can't wait to see you next year! #enterprisetechnology #TAHP2024