2025Federal payment-integrity initiative

Stopping Improper PaymentsBefore They Leave. With a Clear Reason Why.

Medicare and Medicaid lose tens of billions to improper payments every year.E-HRIP identifies which claims are at risk — before and after payment —and explains every flag in plain language so reviewers can act on it.

Active research & implementation initiative — U.S. healthcare programs
THE PROBLEM

A national problem that
demands explainable tools

Improper payments in Medicare and Medicaidrun into the tens of billions every year.Much of it is never recovered. The federalgovernment has formally identified this as anational priority — through statute, annualCMS reports, and executive action.E-HRIP addresses that problem at the level oftools any U.S. healthcare payer can use.

Most improper payments are documentation or eligibility errors — not fraud. E-HRIP is built around where the federal evidence actually is.

$0B
ANNUAL
IMPROPER
PAYMENTS
0%
FLAGS WITH
PLAIN-LANGUAGE
EXPLANATION
THREE THINGS HAPPEN WHEN A CLAIM ENTERS THE PIPELINE
HOW IT WORKS

From Claim Data to Clear
Answers in Seconds

Most integrity tools hand reviewers a score and leave the reasoning to them. E-HRIPdoes the explaining — stratifying claims, surfacing anomalies,and telling reviewers exactly why each flag was raised

CMS
DATA
Medicare · Medicaid claims
CMS Feed
ACTIVE
NCPDP
RX
Pharmacy claims · Drug data
Pharmacy Feed
ACTIVE
SYNTH
DATA
Synthetic · De-identified sets
Development Data
ACTIVE
01 — INGEST
JUST NOW
E-HRIP Engine
Online · Analyzing claim batch
Improper payment risk detected
Why was claim #4471 flagged?
Is this a documentation error or billing issue?
Ask about any flagged claim...
02 — DETECT
RISK PROJECTION
Claim Risk Score
RISK RISING — REVIEW FLAGGED
JUN 15JUN 22JUN 29JUL 06
Score: 87/100
High-risk flag · Explanation generated · Flagged before adjudication
03 — EXPLAIN
PNC
CHASE
BofA
citi
wells
chime
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TD
THE FRAMEWORK

Four Modules, One
Coherent System

Modules
ACTIVE IN DEVELOPMENT
BUILT ON REAL DATA METHODOLOGY
INITIATIVE SCOPE

Phased Build,
Real Evidence

E-HRIP builds in phases — one working module first, then a methodology note,then validation as real data results accrue. Nothing is asserted before it exists.

NOW · NEAR TERM
Phase 1
  • Working first module — explainable improper-payment risk score
  • Plain-language initiative description
  • De-identified or synthetic data for development
  • Design decisions documented as built
ONGOING
Phase 3
  • External interest — collaboration or program inquiries
  • Grant application (AHRQ / HHS SBIR) if applicable
  • Publications as results mature
  • All documented as it actually happens
Improper payments already have a pattern. E-HRIP finds it.
✓ We’ll be in touch
E-HRIP is an active research initiative, not a commercial product. No pricing, no waitlist.