How Industry Benchmarks Can Drive Smarter Payment Integrity Strategies

In payment integrity, the real question isn’t just are you saving money?—it’s are you saving the right amount, efficiently? Without clear benchmarks, measuring true performance remains challenging. In this session, the MCC Benchmarking Report’s working groups will share how they have defined key metrics like savings per member per month (PMPM) , and how these benchmarks can help organizations evaluate effectiveness, identify gaps, and optimize strategies for sustainable savings and stronger returns.

Learning Objectives:

• Explore how standardized metrics like savings per member per month can provide a clearer, apples-to-apples view of payment integrity effectiveness across organizations.
• Discover how to use these metrics not just for performance reporting, but as tools to identify inefficiencies, improve vendor strategies, and align internal teams around realistic, data-driven goals for optimal savings and sustainable returns.