Jun 27, 2025 | Forensic AI Alerts
Navigating Medication Therapy Management: Policies, Practices, and Identifying Potential Fraud, Waste, and Abuse Medication Therapy Management (“MTM”) has been shown to improve overall health and well being. MTM programs typically involve comprehensive medication...
Jun 26, 2025 | Payment Integrity
The healthcare payment system is hemorrhaging money, and the traditional “detect and recover” approach in payment integrity is not just failing—it’s actively making the crisis worse. While payers and providers continue to operate under outdated...
Jun 19, 2025 | AI for PI Community, AI in Healthcare
A Policy Leader with a Technologist’s Lens At the 2025 AI for PI Summit hosted by the AI for Payment Integrity (AI for PI) Community, Congressman Jay Obernolte delivered a powerful keynote, emphasizing the urgent change needed in healthcare cost containment and AI—and...
