Summary:
A health insurance company needed to improve its payment integrity efficiencies with a primary goal of increasing payment recovery. They engaged Alivia Analytics and used the FWA Finder™.
Results:
- Increased their ROI by 11x in the first 7 months of going live by running a pharmacy initiative that recovered $2,700,000.
- Performed 2 years of work in 4 months.
- Reduced time-to-recover from 12 months to 3 months.
- Reduced the false positive rate to under 1%.