Qlarant

Qlarant Since 1973, Qlarant has been committed to protecting the integrity of national and state healthcare systems in Medicare, Medicaid, and the private sector.

Our Foundation issues annual grants to programs that provide services to underserved communities. Qlarant offers a broad range of innovative services: Predictive Modeling & Data Analytics, Investigations, Auditing, Medical Review and Analysis, Site Visit Verification, and more. Our RIViR™ Risk Solutions Suite is a high-powered, artificially intelligent, data analytics case management solution. It’

s flexible, customizable, intuitive, and easily integrates with third-party systems. RIViR is designed to be easy to use and receives regular updates so that your organization is always at the forefront of risk management. RIViR meets the needs of data scientists, data analysts, domain experts, managers, executives, quality assurance teams, system admins, policy analysts, financial reviewers, auditors and business process improvement staff.

As the shift from pay-and-chase to pre-pay determination solidifies in the minds of program integrity professionals, thi...
09/04/2026

As the shift from pay-and-chase to pre-pay determination solidifies in the minds of program integrity professionals, this year’s NAMPI Conference in Portland, Oregon was filled with vision, strategy, and AI.

As the shift from pay-and-chase to pre-pay determination solidifies, this year’s NAMPI Conference was filled with vision, strategy, and AI.

Qlarant Sr. VP Dion Trahan’s career has been driven by one purpose: improving the lives of others.
09/03/2026

Qlarant Sr. VP Dion Trahan’s career has been driven by one purpose: improving the lives of others.

From military service and time on Capitol Hill to executive leadership in health care, every step of Dion Trahan's career has been driven by one purpose: improving the lives of others.

Qlarant Foundation continues its expansion with a grant to Mission Of Mercy - Texas.
09/02/2026

Qlarant Foundation continues its expansion with a grant to Mission Of Mercy - Texas.

As part of the 2025 Grant Cycle, Qlarant Foundation expanded grants into the state of Texas. One of the first grants provided was a $20,000 grant to Missions of Mercy, Inc.

Preying on people who are struggling with substance abuse and lack of housing by ripping off Medicaid sounds especially ...
09/01/2026

Preying on people who are struggling with substance abuse and lack of housing by ripping off Medicaid sounds especially horrible because it is. Qlarant works to find and prevent fraud schemes like this every day.

A woman was charged with healthcare fraud after she allegedly submitted false claims to Utah Medicaid and received more than $4 million in a payout.From July 20

Qlarant was pleased to sponsor the 36th Annual ACFE DFW Fraud Conference. Qlarant’s own Chris Mabile is also President o...
08/31/2026

Qlarant was pleased to sponsor the 36th Annual ACFE DFW Fraud Conference. Qlarant’s own Chris Mabile is also President of the ACFE - Dallas Chapter and provided the opening remarks.

Returning Qlarant Foundation grantee, Food & Friends, improves the lives and health of people in HIV/AIDS, cancer, and o...
08/28/2026

Returning Qlarant Foundation grantee, Food & Friends, improves the lives and health of people in HIV/AIDS, cancer, and other illnesses. Find out more on our websites.

Food & Friends improves the lives and health of people with HIV/AIDS, cancer, and other serious illnesses that limit their ability to provide nourishment for themselves.

Join our newsletter to stay informed on pro-active fraud, waste, and abuse solutions, quality improvement in healthcare,...
08/27/2026

Join our newsletter to stay informed on pro-active fraud, waste, and abuse solutions, quality improvement in healthcare, and our newest grantee organizations!

News and announcements related to Qlarant's solutions for Quality Improvement; Fraud, Waste & Abuse; and Data Sciences & Technology.

08/26/2026

Happy National Dog Day! Sit back and enjoy this overload of our adorable pups!

Fraudsters will try anything. This Iowa attorney was convicted for a Medicaid fraud scheme after transferring his wrecke...
08/26/2026

Fraudsters will try anything. This Iowa attorney was convicted for a Medicaid fraud scheme after transferring his wrecked Rolls Royce to clients in exchange for $186K to make them appear eligible for benefits.

An Iowa attorney accused of health care fraud in attempting to assist a client in qualifying for Medicaid is now facing licensing sanctions.

Afternoon snack at . Need help with Program Integrity Solutions? Meet our VP of Business Development, Dan Leslie. Reach...
08/25/2026

Afternoon snack at . Need help with Program Integrity Solutions? Meet our VP of Business Development, Dan Leslie. Reach out for a resource and solutions discussion.

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28464 Marlboro Avenue
Easton, MD
21601

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+18009993362

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