Welcome to the 8th Healthcare Payment & Revenue Integrity Congress!
Whether you’re looking for vendors with proven ROI or insourcing strategies from health plan leaders, this event has it all. Explore AI-driven solutions for improving data analytics, reducing FWA, and enhancing claims accuracy. Network with peers and collaborate with providers to drive efficiency and financial success for your plan!
Key themes:
Payer-Provider Collaboration
Explore strategies for fostering transparency and trust, focusing on critical aspects like interoperability, seamless data exchange, and modernized contracting practices. Learn how to overcome challenges in communication and build partnerships that optimize care delivery and payment systems, all while driving cost efficiencies.
Tackling Emerging Fraud Trends
Dive into the latest trends in hospice fraud, telehealth abuse, wound care schemes, sleep apnea exploitation, and prescription fraud. Through expert insights and case studies, you’ll gain the tools to identify red flags, implement robust fraud prevention strategies, and safeguard your organization’s resources in an ever-changing landscape.
Prepare for Policy Shifts Shaping Payment Integrity
Get ahead of key policy changes driving compliance priorities—from tighter AI regulations to heightened price transparency and data-sharing mandates. Gain practical insights on how these shifts will impact payment integrity processes and leave with clear strategies to adapt your workflows, ensure compliance, and protect operational performance in this evolving landscape.
Payment Integrity Standards & Benchmarks
At Kisaco Research’s 2024 HPRI conference in Miami, payment integrity thought leaders convened to discuss industry challenges and opportunities, and a clear theme emerged: the urgent need for standardization and industry benchmarking to better understand performance.
Meet the Experts:
OUR COMMUNITY OF PAYERS
What to Expect:
Enhanced Payer-Provider Networking:
Joint discussions and tailored networking sessions designed to bridge communication gaps and foster collaboration, helping payers and providers address shared challenges effectively.
Facilitated 1:1 Vendor Connections:
Personalized matchmaking to connect payers with vendors offering innovative tools and strategies that align with their goals, ensuring meaningful conversations and actionable partnerships.
Broader Spectrum of Content:
Expanded agenda covering critical intersections like risk adjustment, provider relationships, and member experience, offering strategies to create payment integrity programs that drive cost containment while building more well-rounded health plans.
Exclusive Benchmarking Insights:
Access to the MCC Benchmarking Group and its comprehensive report, providing health plans with PMPM savings metrics to evaluate and improve their performance against industry standards.