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  • Aadarsh Ashok

    Aadarsh Ashok

    Senior Analyst

  • Provider Compendium
    Oct. 07, 2026

    Pre-payment integrity is gaining momentum as health plans look to shift left with payment accuracy activities, moving from retrospective recovery toward earlier intervention before claims are paid. Rising medical costs, provider abrasion from post-pay recoveries, and…
  • Viewpoint
    Sep. 18, 2026

    Payment Integrity (PI) is a key driver for containing medical costs and payment leakage, and is heavily outsourced. In a traditional black-box model, health plans receive findings, savings, reporting, and invoices while the logic, evidence, exceptions,…
  • Viewpoint
    Sep. 02, 2026

    Federal Independent Dispute Resolution (IDR) has moved far beyond the scale originally envisioned under the No Surprises Act (NSA) and is now a material issue for health plans. More than 5 million disputes have been submitted…
  • Tech Provider Spotlight
    Aug. 17, 2026

    Prior authorization for healthcare payers is shifting from manual, fax-heavy, and fragmented workflows toward more integrated, interoperable, and technology-enabled operating models. Payers are under growing pressure to reduce administrative burden, improve turnaround times, manage increasing authorization…
  • PEAK Matrix®
    July 01, 2026

    Healthcare payers are under growing pressure to control avoidable spend as medical cost trends, payment leakage, FWA exposure, and provider abrasion make retrospective recovery increasingly difficult to sustain. As a result, pre-payment integrity is gaining momentum…