Jul 5, 2022 | Payment Integrity
By Kurt Spear, Vice President of Financial Investigations and Provider Review, Highmark, Inc. The COVID-19 pandemic has had a major impact on the lives of Americans – a recent CDC report from April 2022 shared that about 60% of U.S. adults and 75% of children in the...
Sep 1, 2021 | Payment Integrity
Healthcare payers are feeling the pressure to achieve greater cost containment, and are tasked with reducing the fraud, waste and abuse that costs the U.S. at least $114 billion every year. To that end, they’re shifting from the traditional cost-containment methods of...