Protecting Healthcare Payments: New Strategies to Reduce Fraud Risk

In this episode of Healthcare Insider, Sarah Loeffler, host with Modern Healthcare's Content Studio, speaks with Yusuf Qasim, President of Payments Optimization at Zelis, about how health plans can strengthen payment security without sacrificing speed. Drawing on insights from one of the nation's largest payer and provider payment networks, the conversation explores why traditional fraud strategies are no longer enough and what leading organizations are doing differently. You'll Learn: Why fraud prevention must extend beyond claims integrity into the payment lifecycle. How fraudsters exploit gaps between claims review and payment execution. The role of real-time intelligence, provider validation and network-wide data in identifying payment risk. How health plans can accelerate digital payments while maintaining strong security controls. Practical strategies for building a more proactive, scalable approach to payment integrity.