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ClarisHealth Reinforces Position as Payment Integrity Technology Innovator for Health Plans with a Banner 2024


News provided by

ClarisHealth

Jan 09, 2025, 09:05 ET

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ClarisHealth accelerates strategic growth into 2025 with thought leadership and expansion of Pareo® technology ecosystem.

BRENTWOOD, Tenn., Jan. 9, 2025 /PRNewswire-PRWeb/ -- Today, ClarisHealth, provider of the leading integrated payment integrity technology platform for health plans, announced strategic growth across team expansion, technology innovation, and industry recognition achieved in 2024. In another year of increasing complexity for healthcare, these benchmarks demonstrate growing momentum in favor of ClarisHealth's approach that offers health plans a better way to decrease payment integrity administrative costs while improving medical savings.

"Payment integrity is experiencing a period of rapid transformation and strategic importance, and ClarisHealth is at the center of enabling payers to adapt to these changes," said Jeff McNeese, CEO of ClarisHealth. "Our hyper-growth has given us an unparalleled look at how our payment integrity operating system Pareo® can continue expanding to drive efficiency and value across payment accuracy."

"Our hyper-growth has given us an unparalleled look at how our payment integrity operating system Pareo® can continue expanding to better drive efficiency and value across payment accuracy."

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Highlights of the company's banner year span growth in leadership, product innovation investment, platform expansion, partnerships, hypergrowth milestones, market benchmarks and community collaboration. In 2024 ClarisHealth:

  • Received a strategic growth investment from Pamlico Capital to scale operations.
  • Positioned as the highest-designated Major Contender in Everest Group Payment Integrity Solutions PEAK Matrix® Assessment. Pareo also appeared on the Gartner Hype Cycle for U.S. Payers for the fourth year in a row.
  • Hired more than 50 new team members, including adding industry veterans Nick Ridings and Ron Kozlin to the leadership team.
  • Made the Inc. 5000 list for the fifth year in a row, a milestone only 1% of companies that make the list reach.
  • Expanded its POP Conference to an industry-wide event exclusively for payment integrity leaders after two years of successful community collaboration and insights.
  • Launched the Pareo Partner Exchange, designed to foster collaboration and innovation within the payment integrity technology ecosystem. Expion Health joined as the first member.
  • Validated Pareo's ROI with independent research confirming nine specific value drivers that streamline payment integrity operations, expand recoveries, and reduce vendor and existing system spend resulting in millions of dollars in value for payers.

These developments signal payers' recognition of the opportunity to modernize their payment integrity operations with technology – and ClarisHealth as the partner to help them achieve those goals.

"Today, the people, processes and data powering most payers' payment integrity programs are decentralized leaving them without the ability to scale their operations and access the insights necessary to advance their strategy," said Tate McDaniel, chief revenue officer of ClarisHealth. "This legacy approach is not sustainable. With payment integrity advancing as a strategic pillar within health plans as they rapidly try to address the growing cost pressures of today's environment, investments in technology like Pareo empower them to centralize and scale their payment integrity operations and realize value, quickly."

Pareo's thousands of daily users from across the nation's top health plans offer unique insights into how technology is empowering payers to expand their programs while significantly reducing their administrative spend. This market leadership position also serves as a launching point to align with several important trends in payment integrity technology and health plan operational priorities that promise to be big in 2025:

  • Continuing evolution of A.I. strategies
  • Desire for greater transparency with services vendors and point technology solutions
  • Need to update legacy technology platforms
  • Shifting payment accuracy efforts further prepayment to billing error prevention

ClarisHealth will publish more details about these takeaways later this month in its annual Payment Integrity Technology Trends for Payers report.

About ClarisHealth

ClarisHealth, a five-time Inc. 5000 and two-time Deloitte Technology Fast 500 company and recognized in the Gartner Hype Cycle for U.S. Payers and Everest Group's Payment Integrity Solutions PEAK Matrix® Assessment, provides health plans and payers with a better way to drive claims payment accuracy. Its proprietary, A.I.-powered enterprise technology platform Pareo® has been proven to help health plans streamline payment integrity operations, expand recoveries, and reduce vendor and existing system spend for an industry-leading ROI. For more information please visit www.clarishealth.com.

Media Contact

Amanda Bair, ClarisHealth, 1 8554252747, [email protected], www.clarishealth.com 

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SOURCE ClarisHealth

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