Who We Serve

Federal Government

IntegrityM partners with federal agencies responsible for administering programs that affect millions of Americans, including Medicare, Medicaid, CHIP and a wide range of grant-funded initiatives.

We partner with agencies such as the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS), the Health Resources and Services Administration (HRSA), the Administration for Children and Families (ACF), the Veterans Health Administration (VHA), and the National Science Foundation (NSF). Through these collaborations, we provide independent oversight, risk-based monitoring, and fiscal accountability assessments that ensure public funds are used appropriately and effectively.

Through our work, we help federal partners:

• Oversee and safeguard benefit programs such as Medicare, Medicaid, Marketplace, and managed care initiatives.
• Support grantee organizations that serve vulnerable populations.
• Strengthen fiscal accountability and program transparency.
• Deliver program management support to ensure consistent implementation of federal initiatives.
• Identify risks that could affect beneficiaries, providers, or taxpayers.

State Government

At the state level, IntegrityM serves Medicaid and CHIP programs, state health departments, and human services agencies that are directly accountable to the people they serve. We help these agencies maintain program integrity and compliance while ensuring that providers, managed care plans, and beneficiaries experience fair, accurate, and efficient administration.

Our partnerships with states focus on:

• Supporting the oversight of Medicaid, CHIP, and other health and human service programs.
• Strengthening accountability among managed care organizations, providers, and vendors.
• Ensuring the proper distribution of funding to beneficiaries and local partners.
• Helping state leaders meet federal compliance and reporting standards.
• Providing education and training to equip state teams with the knowledge and tools needed to sustain program integrity.

Private Sector & Healthcare Organizations

IntegrityM serves private-sector clients, including healthcare payers, managed care plans, that share responsibility for maintaining integrity and compliance across the healthcare system. We help our partners strengthen oversight and improve performance in programs that directly affect their members and patients.

Private-sector clients rely on IntegrityM to:

• Conduct targeted medical and claims review to improve payment accuracy.
• Perform independent compliance audits aligned with CMS and OIG expectations.
• Supply statistical services leveraging ASEPro™.
• Use data analytics and risk modeling to identify trends, mitigate vulnerabilities, and support data-driven decision-making.
• Provide advisory and consulting services to strengthen internal governance and compliance operations.