Engage in focused, small-group discussions where payers and providers connect over specific topics, share perspectives, and explore solutions from both sides—offering a balanced, holistic view of key challenges and opportunities.
- Price Transparency 4 Years In: Navigating Compliance, Challenges, and Opportunities for Providers and PayersJoin us for a dynamic roundtable at the Healthcare Payment and Revenue Integrity Congress, where providers and payers will explore the impact of price transparency. Led by Dave Cardelle (SIIA Price Transparency Committee), the session will examine key challenges and strategies around the CMS Final Rule on Hospital Price Transparency and TiC MRFs, four years on. Discussion topics include compliance, penalties, costs, rate setting, contract negotiations, and using transparency data for analysis. Don’t miss this chance to share insights and shape the future of price transparency.Dave Cardelle, Chief Strategy Officer, AMS
- Payment Integrity 101Join us for Payment Integrity 101 at the Healthcare Payment and Revenue Integrity Congress, a foundational session designed for those new to or expanding their role in payment integrity. This session will break down the key components of payment integrity, from pre-pay to post-pay strategies, common fraud, waste, and abuse (FWA) schemes, to how plans and providers can align on reducing improper payments. Whether you're building a team, refining your approach, or just starting out, this session offers a practical roadmap and terminology primer to help you navigate the space with confidence.Charlie Jensen, Head of Payment Integrity Strategy, Blue Cross Blue Shield, Illinois
Session Topics:
Medical Cost Containment
Sponsor(s):
Machinify
AMS Intelligent Analytics
Speaker(s):
Maya Turner
Owner/Executive Managing Director
Turner Expert Consulting
Dave Cardelle
Chief Strategy Officer
AMS
Charlie Jensen
Head of Payment Integrity Strategy
Blue Cross Blue Shield, Illinois
Session Type:
General Session (Presentation)