Many FWA strategies focus heavily on post-payment recovery and claim edits. But risk often starts further upstream — in fragmented data, disconnected systems and operational silos. As claim volumes rise and provider dynamics shift, undetected patterns of behavior can drive large volumes of improper activity. 

This assessment helps payer executives evaluate where hidden risk exists across the payment lifecycle. By identifying vulnerabilities in member data, provider alignment and exception workflows, you can stop improper payments before they scale. 

Inside, you’ll learn: 

• How to unify fragmented member and provider data 

• Ways to reduce reliance on costly post-payment recovery 

• Strategies to break down operational silos 

• How to translate operational risk into measurable financial terms