Reclaiming Control Vol. II: A modern approach to payment integrity

Payment integrity (PI) is essential for controlling medical spend. Still, outdated, vendor-heavy, opaque models limit a health plan’s ability to institutionalize knowledge and address root-cause errors that can reduce provider friction. 

Cohere Health created this playbook to help health plans rethink their PI strategy through targeted insourcing and intelligent automation—allowing teams to bring more work in-house, expand their team’s throughput, reduce reliance on contingency-based vendors, and recover value earlier in the payment lifecycle.

Download the playbook to learn:

• Why legacy PI models fall short: Vendor-driven processes often lack transparency for plans and providers. 
• How modern PI works: AI-powered clinical insights surface inaccurate claims earlier—across inpatient, outpatient, pre-pay, and post-pay programs.
• What insourcing makes possible: Lower administrative costs, fewer downstream clawbacks, better provider collaboration, and more accurate recoveries.

Download the Reclaiming Control Vol. II playbook to begin building a smarter, automated, and future-ready PI program.