MCC Summit

The 2026 HPRI (Healthcare Payment & Revenue Integrity) Chicago Congress

The Healthcare Payment & Revenue Integrity Congress (HPRI)

The Healthcare Payment & Revenue Integrity Congress (HPRI) (part of the Medical Cost Containment Series) is a senior-level forum bringing together health plans, healthcare providers, regulators, and technology partners.

Sept 9th, 2026 - Chicago

Core Focus & Objective

The central question of the event is: "How do you prevent losses before they happen and drive sustainable savings at scale?" The goal is to move payment integrity from reactive dollar recovery to proactive cost reduction and improved care quality.

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Key Themes & Agenda Topics

  • AI & Advanced Analytics: Evaluating ROI from AI pilot programs, implementing Agentic AI applications, tracking AI-generated fraud trends, and managing provider AI usage.
  • Cross-Functional Integration: Aligning workflows, data, and reporting across Payment Integrity, Finance, Claims, and Utilization Management teams.
  • Industry Standards & Benchmarking: Updating baseline Payment Integrity savings PMPM (Per Member Per Month) benchmarks and performance metrics.
  • Partnership Strategies: Exploring technology partnerships, evaluating solution providers, and insourcing cost containment initiatives.
  • Practical Case Studies: Sharing real-world insights, execution tactics, and lessons learned across the cost-containment ecosystem.

RCX Speaking at HPRI 2026

Clinical Documentation: Claims & Payment Integrity

Our team joined the executive panel to make the case that payment integrity is no longer a back-end audit function but a strategic discipline for accuracy, transparency, and trust. Inaccuracy originates upstream of the claim, in documentation, coding, and DRG assignment, so the highest-value opportunities are preventive rather than recovery-driven.

Justice Croffie
CEO
Emmanuel Akpata
Assistant Director of Clinical Data Integrity
Erin Moss
Chief Operating Officer
Rhonda Ruiz
Director of Business Development