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Schedule a demo with David Thorne to discuss how Sentinel can serve your agency's program integrity needs.
Direct to David
Schedule a demo with David Thorne to discuss how Sentinel can serve your agency's program integrity needs.
30 minutes with David Thorne, CEO and Founder. Same-day or next-business-day availability. We discuss your state's program integrity priorities, MCO accountability concerns, or potential subcontract lanes.
Schedule a 30-Minute CallPrefer to send a written inquiry? Use the form below.
Direct lines, parent company, and availability.
David Thorne
CEO & Founder
sentinelintegritygroup.com
AI-powered fraud prevention and program integrity for government agencies nationwide
High Value Change
Healthcare program integrity infrastructure
Sentinel is the Medicaid program integrity intelligence division
Monday through Friday
8:00 AM to 5:00 PM CT
Demo calls available same-day or next business day
Direct calendar access. Same-day and next-business-day slots available.
Your path from inquiry to Sentinel deployment
You'll speak directly with David Thorne about your state's program integrity challenges, current processes, and goals. We discuss fraud vectors, data requirements, and timeline. No obligation.
If there's a good fit, David will prepare a detailed proposal including service tier, pricing, and implementation timeline. We can draft proviso language for your legislature if you're interested in proviso-funded deployment.
Once contract is signed, we provide secure SFTP credentials and data specifications. Your team uploads claims, eligibility, and provider data (typically 3-4 files). We handle all parsing and standardization.
Within 2 weeks of contract signature, Sentinel is live and monitoring your programs for fraud in real-time. Weekly fraud detection reports. Monthly calls. Quarterly legislative briefings.
Sentinel goes live within 2 weeks of contract signature. We need three data files from your systems (claims, eligibility, provider data), and we handle all the rest. No lengthy system integrations or IT projects required. You're monitoring fraud by week 3.
Three core data elements: (1) all paid and denied claims in your standard format (837, HL7, CSV, etc.), (2) current beneficiary eligibility with income and demographic data, and (3) active provider enrollment and fee schedules. We standardize everything. Data is encrypted in transit and at rest. HIPAA Business Associate Agreement provided.
Traditional audits are manual, sample-based, and reactive (they find past errors). Sentinel is automated, analyzes 100% of claims, and is preventive (fraud is caught before payment). Sentinel monitors 36 fraud vectors across 8 lifecycle stages in real-time. Detection happens in minutes, not months.
Sentinel is typically funded through legislative proviso (bill language specifying your state's fraud prevention goals and our role). This means legislators define the scope, we execute against their metrics, and we report quarterly to legislative committees. No traditional RFP. Fast procurement. Clear legislative oversight. Sentinel can draft proviso language for your legislature.
Three tiers: Tier 1 (Base, claims-only) = $180K/year. Tier 2 (Standard, full suite) = $425K/year. Tier 3 (Enterprise, all features + custom development) = $850K/year. Typical large states use Tier 2. ROI is 5-8x annually (for every $1 spent, states recover $5-8 in fraud prevention and recovery).
Yes. Sentinel identifies underpayments, appeal-eligible denials, and fee schedule corrections, and prioritizes recovery opportunities by revenue impact. Recovery execution can be delivered through High Value Change operational partners, or states can action findings in-house with full Sentinel documentation and support.
Yes. We operate as a HIPAA Business Associate. All data encrypted in transit (TLS) and at rest (AES-256). Secure SFTP upload. Full audit trails. Quarterly compliance attestation. Data is not stored longer than necessary for contract performance.
Sentinel is a national vendor serving state and federal agencies nationwide. We monitor program integrity across Medicaid, SNAP, child welfare, workforce, housing, and more. Contact David to discuss your agency's specific needs.
Sentinel Integrity Group is a Division of High Value Change, founded by David Thorne to solve the government program fraud crisis at scale. The organization brings 15+ years of experience in healthcare economics, state government programs, and government contracting, with operational and financial strength to support multi-state deployments and long-cycle procurements.
Schedule a 30-minute call to discuss your state's program integrity goals, MCO accountability needs, or proviso-funded deployment options. Same-day or next-business-day availability.
Schedule a 30-Minute Call