Lowering healthcare costs for plans—and their members
Penstock is a service partner and SaaS builder for forward-thinking health plans, empowering recovery, audit and regulatory teams to get accuracy right from the start—when it matters most. Our payment integrity and regulatory technology and services remove inefficiencies, costly errors and wasteful spending, ultimately lowering healthcare costs for payer organizations and their members.
Focus Areas
Realigning Healthcare Incentives
Redefining Administrative Efficiency
Leadership
Laura Collier
President of Payment Integrity Solutions, Penstock
Joe Boyle
President of Regulatory Solutions, Penstock
Nick McLaughlin
CEO, Breeze
Providing solutions for
What We Offer
Payment Integrity & Accuracy
We’re sharing the industry secrets other vendors won’t. With the goal of creating lasting systemic change and lowering healthcare costs for payers, we go beyond the standard claim review process. We’ll help you identify the root causes of errors to impact true fixes at the source.
- Payment Integrity Consulting
- Audit & Recovery
- Audit Management Technology
Our Story
About Penstock
At Penstock, we’re committed to continually reimagining the way care is paid for in order to reclaim greater integrity between payors and providers. But we’re part of an even larger mission. Reinventing healthcare, together.
Solutions By Penstock
We’re sharing the industry secrets other vendors won’t. With the goal of creating lasting systemic change and lowering healthcare costs for payers, we go beyond the standard claim review process. We’ll help you identify the root causes of errors to impact true fixes at the source.
- Payment Integrity Consulting
- Audit & Recovery
- Audit Management Technology
The increasing demand for expert health plan support in handling complex regulatory filing tasks calls for a dedicated partner—and it’s exactly where we excel. We’ll focus on your compliance success while you focus on your strategic growth.
- HCRA Support
- Qualified Health Plan Filing & Consulting
- RxDC Filing Assistance
One-stop, self-service SaaS platform to get payment accuracy right from the start. Our technology powers the entire payment integrity audit workflow from data ingestion through reporting.
ClearFile is an intelligent software-meets-service solution that simplifies the NAIC System for Electronic Rates and Forms Filings (SERFF) user interface. From automated, real-time access to state guidance updates, to a streamlined integration and dissemination of binder, form and rate filing deadlines and requirements, ClearFile ensures a seamless user interface for filing success.
We’re raising the bar for benefits in the workplace. We’re freeing employers and their people from unaffordable healthcare—delivering refreshing experiences and rewarding self-funded plans at a lower cost.
- Targeted savings solutions for Rx & specialty medications
- Dozens of ways for employees to save on healthcare
- Enhanced member benefits & experience
- Average 25% less cost than comparable plans
- Dedicated benefits experts/health advocates
- Streamlined access to financial assistance
We’re raising the bar for benefits in the workplace. We’re freeing employers and their people from unaffordable healthcare—delivering refreshing experiences and rewarding self-funded plans at a lower cost.
- Targeted savings solutions for Rx & specialty medications
- Dozens of ways for employees to save on healthcare
- Enhanced member benefits & experience
- Average 25% less cost than comparable plans
- Dedicated benefits experts/health advocates
- Streamlined access to financial assistance
We’re raising the bar for benefits in the workplace. We’re freeing employers and their people from unaffordable healthcare—delivering refreshing experiences and rewarding self-funded plans at a lower cost.
- Targeted savings solutions for Rx & specialty medications
- Dozens of ways for employees to save on healthcare
- Enhanced member benefits & experience
- Average 25% less cost than comparable plans
- Dedicated benefits experts/health advocates
- Streamlined access to financial assistance
We’re raising the bar for benefits in the workplace. We’re freeing employers and their people from unaffordable healthcare—delivering refreshing experiences and rewarding self-funded plans at a lower cost.
- Targeted savings solutions for Rx & specialty medications
- Dozens of ways for employees to save on healthcare
- Enhanced member benefits & experience
- Average 25% less cost than comparable plans
- Dedicated benefits experts/health advocates
- Streamlined access to financial assistance
100%
QHP Filing Certification Success Rate
$80M
In identified Federal and State carve-outs
$82M
Identified in HCRA overpayments
Featured Leadership
Laura Collier
President of Payment Integrity Solutions | Penstock
Laura’s 20+ years of experience in payment integrity has enabled Penstock to thrive. Understanding that payment is one of the foundational systems of healthcare that needs reinvention, Laura leads the team’s commitment to reimagine the way care is paid for and to reclaim greater integrity between payors and providers.
Read Bio
Kim Lauranzon
General Manager | RemedyOne
Kim was the first official employee of RemedyOne and now, she’s leading the charge as the company’s General Manager. Here’s what her path to success looks like. Kim was the first official employee of RemedyOne and now, she’s leading the charge as the company’s General Manager. Here’s what her path to success looks like.
Case Studies
- January 1, 2023
- By Goodroot Team
“Second Pass” Recovery Audit Returns $2.5MM to Medicare Advantage Plan
- Focus Areas: Redefining Administrative Efficiency
We were engaged as the “second pass” auditor for a 47,000 member Medicare Advantage plan, behind a large, national healthcare analytics and recovery organization.
- January 1, 2023
- By Goodroot Team
Penstock Identifies & Recovers $3MM In Inappropriately Submitted HCRA Funds
- Focus Areas: Redefining Administrative Efficiency
Penstock conducted a detailed analysis of a regional Health Plan’s medical claims to evaluate compliance with the applicable requirements of NYS HCRA.
News and Events
Explore the latest news and events from our community of companies.
Unpacking the Top 5 NBPP Updates for Health Plans in 2024
Goodroot’s Penstock Launches ClearFile for Successful QHP Certification, Names Joe Boyle President of Regulatory Solutions
Penstock’s Laura Collier Promoted to President of Payment Integrity Company Penstock
Penstock Launches to Empower Lasting Healthcare Billing Accuracy
Break up with the status quo
We’re igniting real change. From building and accelerating revolutionary healthcare businesses to delivering transformative tech and services to our clients, we’re raising the bar of what healthcare can be.
Ready to join us?
