Reimagining payment integrity for a digitally enabled future

As healthcare shifts toward a data-driven, patient-centered future, payment integrity (PI) programs must evolve to keep pace with this transformative era. These innovations extend beyond improving a payer’s financial outcomes—they have the potential to drive systemic improvements across the entire healthcare ecosystem.

To gain deeper insights into how health plan leaders are navigating these changes, EXL teamed up with Healthcare Dive to survey 150 executives from leading health plans. This report delves into the perspectives of these decision-makers, exploring the strategies and challenges shaping the future of payment integrity.

Download the report to explore the key trends and strategies health plan leaders are adopting to address current PI challenges and future-proof their programs. Key topics include:

• Addressing obstacles and making investments critical to PI program success
• Building partnerships with organizations that align with strategic goals
• Enhancing prepayment claims auditing and overcoming barriers to improvement
• Driving digital transformation to enrich PI programs and optimize business outcomes