Streamlining the Vendor Process – A Simpler Way to Source, Integrate, and Manage a Growing Vendor Stack

The payment integrity vendor landscape has expanded rapidly, with plans now juggling specialist partners across pre-pay, post-pay, DRG validation, COB, FWA, clinical review, and an ever-growing list of AI-enabled point solutions. While each vendor promises incremental savings, the cumulative cost of sourcing, contracting, onboarding, integrating, and reconciling reporting across a sprawling stack is becoming a payment integrity problem in its own right. This panel brings together PI leaders who have wrestled with rationalising their vendor ecosystems to share practical approaches for building a leaner, better-orchestrated, and easier-to-manage vendor stack without losing savings yield.

• How to evaluate and source new vendors efficiently, including which proof points and pilot structures actually predict in-production performance
• Designing a waterfall and integration model that minimises duplicate findings, claim leakage, and operational drag across multiple vendors
• Consolidating vendor reporting and KPIs into a single view so PI leaders can defend total program value to senior leadership