Jul 31, 2025 | AI for PI Community
With Congress poised to reduce federal Medicaid funding by 12%, healthcare program integrity leaders face mounting pressure: maintain Medicare and Medicaid services oversight for patient care, control healthcare fraud, and safeguard taxpayer dollars—all while doing...
Jul 24, 2025 | AI for PI Community, Payment Integrity
At the AI for PI Summit 2025, Lynn Garbee, Partner at HealthScape Advisors, delivered a strikingly candid and strategic session that struck a chord with payment integrity (PI) professionals and healthcare industry leaders. Drawing from decades of experience, she made...
Jul 24, 2025 | Payment Integrity
Rethinking Payment Integrity at the Concept Level In the face of rising healthcare claims complexity, mounting healthcare payer administrative costs, challenges around payment accuracy, and strained provider relationships, payment integrity professionals are...
Jul 10, 2025 | AI for PI Community, Payment Integrity
Navigating a Pivotal Inflection Point The U.S. healthcare system stands at a critical juncture. With the cost of care continuing to rise (up to $400B due to administrative waste) and provider burnout reaching unsustainable levels (43% as of 2024), stakeholders...
