# Healthcare Payment Integrity Resources

## Explore Machinify's healthcare payment integrity resources, including expert analysis on AI, audit strategy, and claims accuracy.

### Ask Why: The Engine Behind Lasting Innovation  
Principal Engineer, CJ Silverio, explains how “Asking Why” helps us move forward. One reason? We don’t just take things at face value—we get to the root of the problem.  
June 18, 2025

### A Healthcare Evolution: Modernizing Your Health Plan With an AI Operating System  
Earlier this month, in partnership with Fierce Healthcare, Machinify’s Chief Product Officer, Prasanna Ganesan, presented a webinar titled, “A Healthcare Evolution: Modernizing Your Health Plan With an AI Operating System.”  
June 12, 2025

### 12 Questions (and Answers) About Pharmacy Payment Integrity, from a Payer’s POV  
At Machinify, we’re always looking for new ways to bring clarity to complex payment integrity challenges—and pharmacy is no exception. Chris Powers, VP of National Sales, sat down with Derek McMahan, SVP of Pharmacy to answer the industry’s most pressing questions.  
June 10, 2025

### How Agentic AI is Transforming Clinical Data Extraction and Review  
At Machinify, we’re using a new class of artificial intelligence—Agentic AI—to fundamentally change clinical data extraction.  
June 05, 2025

### What is a PDE and Why Does It Matter to Payers?  
In the complex world of healthcare reimbursement and oversight, few acronyms carry as much weight for Medicare Part D payers as PDE—Prescription Drug Event.  
June 03, 2025

### A Bright Future for Health Plan AI Applications  
To better understand the state of AI applications and adoption amongst payers, Machinify surveyed 100 executives from U.S. health plans.  
May 29, 2025

### AI for Health Plans: High Hopes, Slow Starts  
Is AI moving the needle for health plans? That’s what we set out to answer in our new report based on a survey of 100 health plan executives.  
May 29, 2025

### Shift Happens: Why Payment Integrity is Moving Towards Pre-Pay  
Health plans are increasingly moving upstream in the claims adjudication lifecycle—a strategic pivot known as the “shift left” in payment integrity.  
May 14, 2025

### How Strong is Your Payment Integrity Strategy? Take Our Quiz  
Quiz your payment integrity program's performance and review timelines to uncover opportunities for operational and financial improvement.  
May 08, 2025

### Behavioral Health is Essential and Payment Integrity Must Catch Up  
Behavioral health is no longer an afterthought in healthcare—it’s central to how people heal, how systems function, and how payers drive value.  
May 06, 2025

### Flexible Prepayment Model  
A real-world study of how one of the nation's largest payers transformed their payment integrity program and realized more than $1 billion in cost avoidance.  
May 01, 2025

### Machinify at a Glance  
Explore our simple, transparent payment integrity solutions to see what we can do for your organization.  
April 28, 2025