We estimate that the United States loses $275 billion annually in healthcare spending through administrative inefficiencies, as well as fraud and abuse — that’s nearly $9,000 per second. Leading-edge employers are partnering with their claims administrators and pharmacy benefit managers (PBMs) to address this healthcare waste and inefficiency and implementing strategies to hold them more accountable.
From identification and prevention to investigation and recovery, Truven Health Analytics offers powerful, flexible Payment Integrity Enterprise™ solutions to help uncover and eliminate wasteful spending. Backed by more than 20 years of experience, our team of payment integrity experts, proven methodologies, and cutting-edge technology can be applied to:
Our results speak for themselves. Recent client successes include:
Claims Audit Solutions
Payment Integrity Enterprise
Pharmacy Benefits Strategies
Marie Bowker, Senior Director of Practice Leadership
Jean MacQuarrie, Vice President, Payment Integrity Solutions
How Much is Fraud, Waste, and Abuse Costing Us?
Successful Claims Audits Empowered by Data and Analytics
Successful PBM Selection and Contract Negotiation Empowered by Truven Health
Payment Integrity Vulnerability Assessment Identifies More Than $40 Million in Potential Fraud, Waste, and Abuse Overpayments
Payment Integrity Vulnerability Assessment Identifies Nearly $200 Million in Potential Fraud, Waste, and Abuse Overpayments
Solutions from Truven Health Analytics are being rebranded as IBM Watson Health