The impact of payment integrity spans across many lines of business, PI program types, cost avoidance and preventative initiatives. But the overall impact of PI is very hard to capture, especially when multiple vendors have different reporting strategies. Meanwhile, senior leadership is asking for overall PI savings. This session will share case studies and strategies for measuring and centralizing PI reporting to inform a value story for PI across the business.
- How plans are measuring PI savings, especially for pre-pay, preventative, and vendor-based programs
- Strategies to create a centralized portal to consolidate reporting of key KPIs and make visible for all stakeholders
- Opportunities for PI organizations to develop a metrics-based narrative that underscores its critical role in driving cost containment and affordability
Shashank Suresh
Eric Pilon
Eric Pilon comes to us with over 15 years of experience spanning healthcare finance, revenue cycle operations, payment integrity, revenue management, billing, and collections. Currently serving as Manager of Financials and Reporting Analysis at Blue Cross NC, he leads both the financial strategy and reporting initiatives that exceeded Cost of Care goals each year he has been in his current role. Recognized for driving cost of care improvements, managing strategic vendor partnerships, and collaborating across the Blue Cross network. Holds an MBA from West Virginia University and brings a strong background in analytics, operational leadership, and healthcare reimbursement.