RECENT NEWS
The Technology is integrated. The investigators should be too.
AI and analytics are transforming healthcare investigations, but who picks up the case after the system finds something?
For some organizations, field investigation is outsourced only when a case reaches a certain threshold.
That model can work.
But it is different from having employee investigators integrated into the investigative operation every day.
The process works best when all capabilities are connected.
Thank You MHPA 2026
Great conversations. Important work ahead.
Thank you to Medicaid Health Plans of America (MHPA) and the Medicaid managed care community for a great few days in San Antonio!
One thing remains clear: stronger program integrity requires more than identifying risk.
It requires connecting data, intelligence, technology, investigative expertise, and action.
We’re grateful for the conversations and connections at #MHPA26 — and we look forward to continuing the work.
More tools. More vendors. Still not enough visibility. Connect the Picture.
Payment integrity doesn’t become proactive by adding more tools.
It becomes proactive when leaders can actually see what’s happening across the program.
A recent Fierce Healthcare article gets at a challenge we see often: payers may have internal tools, outsourced vendors, analytics platforms, audit functions, and recovery programs all working at once — but still lack a centralized, actionable view of performance.
The problem is not always a lack of data. It is a lack of connected insight.
