Payment integrity is becoming a strategic test of how effectively health plans can connect data, technology and decision-making across the enterprise. Internal teams, specialized vendors and point solutions may each deliver value, but without visibility across the full program, they can also produce duplicative findings, missed savings, higher administrative costs and provider abrasion. In this sponsored Podnosis interview, ClarisHealth CEO Michael Axt explains why the next phase of payment integrity will depend less on adding individual solutions and more on orchestrating them as a unified capability.
Axt explores how financial pressure and accelerating AI adoption are raising the stakes for payment accuracy. He describes an operating model in which payers move more determinations to prepay, coordinate provider requests and apply vendor-agnostic analytics to guide investment across internal and external teams. He also discusses how ClarisHealth’s Pareo platform connects data, workflows and decision support to help payers optimize performance across the broader program.
The conversation offers a forward-looking perspective on how health plans can move beyond spreadsheets and siloed point solutions toward a more coordinated view of the claim lifecycle. Listen to the interview to learn more about building a payment integrity strategy that improves accuracy, reduces administrative waste and protects the value of every healthcare dollar.