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Payment Integrity workspace
Executive view

Payment integrity, at scale

Dollars protected, improper payment rate, and the shift from detection to prevention.

Dollars protected YTD
$37.3M
+18% YoY
Improper payment rate
0.88%
At target
Beneficiaries safeguarded
3,620
No hardship outcomes
Waiver rate
31%
Appeals 12%

Dollars protected over time

Millions. Goal line at $7M per month.

Improper payment rate

Annual. Target 0.9%.

Prevention vs detection split

Share of dollars protected by quarter. Goal: shift toward prevention.

Beneficiaries safeguarded

Cases resolved with no hardship. Cumulative monthly.