Payment Integrity Standards & Benchmarks | Kisaco Research

Spearheading standards for more affordable healthcare. 

In a system under crisis to reduce costs, benchmarks reveal hidden inefficiencies and enable proactive cost containment. 

Strengthening the National Value Story to drive better health outcomes.  

Uniformity in approach to payment integrity creates a measurable impact on healthcare cost and quality.  

Forging industry change through transparency and accountability. 

A common language for performance measurement enables more effective conversations among plans, clients, vendor partners, and providers.

Taking part in the process:

7/10
Largest National Health Plans
4/5
Largest Regional Health Plans
7/10
Largest Medicare Advantage Plans

Collaboration is critical for progress – and momentum is building.

A Working Group of 12-15 operational and financial PI experts with 200+ combined years of experience are creating standards and benchmarking guidance and support.

Over 20 health plans are engaged in an iterative process to provide feedback on the guidance.

Kisaco Research, an independent research firm and creator of the HPRI series, is leading the initiative. 

Process

Get Involved​

What is the latest guidance on how to define Savings PMPM? How do we propose calculating pre-pay savings? Provide feedback through: 

Updates

Learn about our proposed guidance and provide feedback by joining monthly update calls. Next one is June 5, 2pm EST.

Community

Join the PI Standards & Benchmarks LinkedIn group for updates, discussions, and networking.

Support

Guidance from Working Group analytics experts on how to apply standards and re-think metrics and reporting.

Progress

Attend HPRI Chicago for exclusive new insights and best practices including a panel discussion with the Working Group.