Cotiviti Blog

White paper: Getting self-insured employer groups on board with payment integrity

Written by Matthew Hawley | Jun 13, 2024 1:09:05 PM

For health plans’ self-insured employer groups, or administrative service only (ASO) partners, delivering visibility into payment integrity measures is a growing requirement. As ASO partners continue to manage a growing proportion of the commercial population, the complexities of payment integrity remain unchanged.

According to the latest data from KFF, 82% of covered workers at firms of 200 or more employees participate in a self-funded plan. Sharing the value of a high-performing payment integrity solution with ASO partners can reduce administrative burden and keep employee costs to a minimum while ultimately helping to improve client retention and satisfaction. Payment integrity services also create consistency with payment policy application and are mutually beneficial for self-insured and commercial groups.

Read Cotiviti’s white paper to learn how plans can extend improved payment accuracy and savings to ASO partners. You’ll uncover more about unique operational, policy, and content requirements for self-insured employer group programs, including:

  • Shaping program design and contracting
  • Negotiating fees with self-insured employers 
  • Employer engagement and education
  • Implementing technical updates and expertise

Discover valuable insights about how Cotiviti health plan clients work through the challenges of payment integrity for self-insured employer groups.