Insights
Research, analysis, and points of view from people who've been inside Payment Integrity — not just studying it.
Consolidation isn't a procurement goal — it's what governance alignment makes possible.
Payment integrity is changing faster than most payers can deploy. The Aligned Core reframes consolidation as an outcome of governance alignment, not a procurement goal: a governable core frees capacity for specialist depth where differentiated yield lives. The objective is an architecture built for first-time accuracy, modular enough to adapt.
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Why AI spending keeps rising — and improper payment rates don’t fall.
Health plans are investing heavily in AI for Payment Integrity. Yet improper payment rates remain stubbornly flat. This paper examines why — and what leaders should be measuring instead of the savings numbers everyone’s already chasing.
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