Waste Not, Want Not in Healthcare Using CGI and Altair – Using Analytics to Promote Payment Integrity

Presentation by Gary Jackson, Director Consulting Expert, Artificial Intelligence & Blockchain at CGI as part of Altair's Future.Industry 2024 conference.

Payment integrity is the process by which health plans and payers ensure healthcare claims are paid accurately, both in a pre-pay and post-pay context. It encompasses determining the correct party, membership eligibility, contractual adherence, and fraud, waste and abuse detection and prevention.

Using CGI’s TrustedFabric to protect patients privacy and Altair’s RapidMiner to discover patterns, payment integrity can unearth undiscovered patterns that might go unrecognized. This can result in millions of dollars in savings for both healthcare providers and patients.