Performant and CAQH Announce Strategic Partnership
December 21 2022 - 7:30AM
Business Wire
Performant Healthcare Solutions (Nasdaq: PFMT) (Performant), a
leading provider of technology-enabled payment integrity,
eligibility, and related analytics services, and Council for
Affordable Quality Healthcare (CAQH), an industry alliance of
nearly 1,000 health plans, 2 million providers, and other
healthcare stakeholders working to solve healthcare business
challenges, today announced a partnership to improve payment
integrity and coordination of benefits (COB) programs for health
plans, including regional and community-based health plans. This
initiative reflects both organizations’ commitment to driving
savings, claims accuracy, and administrative simplification.
The partnership leverages Performant’s proprietary software
platform and services, and CAQH’s one-of-a-kind registry of member
coverage information to enable participating health plans to
identify third-party healthcare coverage before paying claims. This
prospective approach improves payment accuracy and delivers
significant savings for health plans within months. Both
organizations have a long history of improving payment accuracy for
health plans and providers, and saw an opportunity to provide
regional and community-based health plans more tailored
support.
“We are excited that our partnership with CAQH will enable
Performant to help more health plans realize the incredible value
of our COB solutions,” stated Simeon Kohl, president at Performant.
“As part of broader payment integrity services, Performant will
support health plans with COB implementations, provide
comprehensive data services, and serve as an extension of the
plan’s own technical and operations teams to help recognize savings
that would otherwise be lost.”
“When more health plans integrate robust coordination of
benefits into their operational and financial strategies, the whole
industry benefits from avoided cost and inaccuracy,” said Tyler
Ford, Vice President of Strategy for CAQH. “Performant shares our
mission and this partnership will complement our efforts to
coordinate patient benefits, reduce claims errors, and save costs
for health plans serving millions of members across the
country.”
About Performant Healthcare Solutions
Performant Healthcare Solutions is a leading provider of
technology-enabled audit, recovery, and analytics services in the
United States with a focus in the healthcare payment integrity
industry. Performant works with healthcare payers through claims
auditing and eligibility-based (also known as
coordination-of-benefits) services to identify improper payments.
The Company engages clients in both government and commercial
markets. The Company also has a call center which serves clients
with complex consumer engagement needs. Clients of the Company
typically operate in complex and highly regulated environments and
contract for their payment integrity needs in order to reduce
losses on improper healthcare payments.
Powered by a proprietary analytic platform and workflow
technology, Performant also provides professional services related
to the recovery effort, including reporting capabilities, support
services, customer care and stakeholder training programs meant to
mitigate future instances of improper payments. Founded in 1976,
Performant is headquartered in Livermore, California.
About CAQH
For more than 20 years, CAQH has helped nearly 1,000 health
plans, 2.0 million providers, government entities and vendors
connect, exchange information and operate more efficiently. CAQH
technology-enabled solutions and its Committee on Operating Rules
for Information Exchange (CORE) bring the healthcare industry
together to make sharing business information more automated,
predictable and consistent. CAQH Insights researches opportunities
to reduce the burden of manual processes in healthcare
administration. Visit www.caqh.org and follow us on Twitter:
@caqh.
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version on businesswire.com: https://www.businesswire.com/news/home/20221221005058/en/
Richard Zubek, Investor Relations Performant Healthcare
Solutions (925) 960-4988 investors@performantcorp.com
Gabrielle Nadel, Media Relations CAQH (240) 672.8256
gnadel@jwilsonadvisors.com
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