The payment integrity market remains critical for healthcare payers looking to control costs, ensure accurate payments, and reduce fraud, waste, and abuse. New developments in technology and automation, especially around artificial intelligence, are quickly gaining prominence among PI vendors. Healthcare expenditures continue to rise while margins tighten for payers and providers, making payment integrity solutions increasingly important.

This report provides an overview of major vendor offerings and capabilities, the impact of market trends, and perspective on the outlook and opportunities in the payment integrity space moving forward. Using market research, technology developments, and insights from payment integrity and healthcare stakeholders, the report builds a qualitative analysis and forecast for the PI market. This report profiles Alivia Analytics, Apixio, CGI Group, Change Healthcare, Claris Health, Codoxo, Conduent, Cotiviti, EXL Service, Gainwell Technologies, HealthEdge, Healthcare Fraud Shield, Integrity Advantage, Lyriq, Mastercard Healthcare Solutions, MultiPlan, NTT Data, Optum, ProviderTrust, SAS Institute, Shift Technology, and Zelis.

Clients of Datos Insights’ Commercial Banking and Payments and Healthcare Payments service can download this report.