The relationship between value-based care and payment integrity is tightening fast, moving from parallel functions to deeply interdependent ones. No longer limited to claim-level accuracy, payment integrity must now validate complex contracts, risk models, and outcomes based payments. This panel brings together health plan and provider perspectives to explore how to ensure financial accuracy, fairness, and trust in value-based arrangements, while minimizing provider abrasion and driving cost savings.  

• How to build recovery and audit capabilities that align with value-based care, rather than adapted from fee-for-service logic
• How the shift to pre-pay and cross-functional collaboration are critical to value-based care success at health plans
• The role of AI in enabling the real-time analytics, risk adjustment validation, and anomaly detection necessary for VBC success