Healthcare providers are the lifeblood of the Medicaid system, taking care of our most vulnerable populations. State payers are increasingly focused on improving partnerships with the providers in ...

BOSTON--(BUSINESS WIRE)--Zelis, a leading provider of healthcare technology solutions, today announced that its Payment Integrity solutions received the top honor for Payment Accuracy & Integrity ...

Payment integrity in Medicaid—the concerted effort to keep tight control over fraud, waste and abuse—can be addressed at any stage in the claim cycle. Of course, the earlier it is addressed, the ...

As the fog of the COVID-19 war continues to dissipate, it has become increasingly clear that hundreds of billions of dollars were needlessly added to the national debt due to the government’s ...

The MarketWatch News Department was not involved in the creation of this content. Health plan leaders set to return to Nashville April 14--16, 2026 for three days of peer-led strategy, collaboration, ...

The United States spends an average of $3.8 trillion per year on healthcare. Some estimate that fraud, waste and abuse (FWA) costs the nation at least $114 billion annually — representing more than 3% ...

BURLINGTON, Mass. & DULUTH, Ga.--(BUSINESS WIRE)--HealthEdge® and Codoxo announce a strategic partnership to provide healthcare payers with the industry’s most cutting-edge solutions and services.

The acquisition combines Sagility’s payment integrity services with Devlin Consulting’s contract central technology platform, according to an April 25 Sagility news release. Sagility will now offer a ...

Analyze payment integrity processes and performance holistically When a health plan elevates its view of payment integrity programs to an enterprise level, it can find ways to leverage resources, ...

This episode, recorded live at the Becker’s 3rd Annual Spring Payer Issues Roundtable, features Raj Ronanki, Chief Executive Officer, Lyric. Here, he discusses the company’s evolution, its focus on ...