Health

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Karen Ballard

From patchwork to platform: Taking control of payment integrity

October 1, 2026 Payment integrity programs have become increasingly sophisticated, bringing together more specialized capabilities, technologies and partners. But as these programs grow, they can become harder to manage. Health plans may have strong capabilities in prepay review, post-pay audit, coordination of benefits...

An apple a day keeps the doctor away, but it’s AI systems that keep the healthcare system running smoothly. Medical artificial intelligence can improve every aspect of a healthcare organization, from diagnostics and imaging to monotonous administrative tasks. If you...

From navigating rapid team turnover and preparing for aggressive compliance requirements to managing cybersecurity, the healthcare industry is facing unprecedented pressure. With the help of a healthcare managed services provider, streamlining your workforce strategy and ensuring high-quality care delivery becomes...

Karen Ballard professional photo
Karen Ballard

From silos to synergy: Building a holistic payment integrity program for healthcare payers

April 24, 2026 For commercial, government and managed care payers, payment integrity is shifting from a back-end recovery function to a front-end margin protector. But here's the problem: most organizations still operate with an 85/15 split between postpay and prepay activities, spending the...

Healthcare modernization is the act of upgrading outdated clinical systems and making health data easier to maintain, securely access, run and scale.

Suren Vardhineedi professional photo
Suren Vardhineedi

Shifting left: Redefining payment integrity in a smarter, more connected health system

February 5, 2026 Health systems worldwide are undergoing significant change, and payers are at the center of that transformation. Their role now extends far beyond processing claims. According to CGI’s 2025 Voice of Our Clients research, financial resiliency and cost optimization are top...

Healthcare has entered the digital era, reshaping how services are delivered, managed and secured. To remain competitive and maintain safe, patient-centered environments, organizations are leveraging technology to modernize operations and improve care delivery. What is healthcare digital transformation? Digital transformation...