Health plan leaders have long understood that fragmented data structures and siloed organizations are barriers to financial performance. What the 2026 4L Fraud Advisory Council made clear is that the cost of inaction is no longer theoretical — and technology makes the path forward accessible. 

Meeting in Dana Point, CA in February 2026, the Council — a multidisciplinary group of SIU, program integrity, payment integrity, and network leaders — focused this year's collaboration on two initiatives with measurable, near-term impact: 1) breaking down the provider data silos across the enterprise and 2) shifting payment integrity and FWA prevention ‘hard left’ in the network, ordering, and claims processes. 

The Council’s recommendations are direct. Administrative costs are unsustainable. MLRs are climbing. Legacy claims and operating systems, along with organizational silos, are making the problem worse. At the end of the two-day session, the Council defined a roadmap designed to help most health plans achieve a 10% reduction in administrative costs while accelerating overall payment integrity and FWA prevention. 

2026 Fraud Advisory Council Whitepaper Highlights  

• Why siloed provider data costs health plans millions—and what it takes to fix it. 

• Organizational changes that break down silos and reduce FWA and administrative costs. 

• A five-stage cost-cutting framework for shifting payment integrity and FWA prevention ‘hard left’. 

• What ‘shifting left’ requires from both an organizational and technology perspective. 

 Download the full white paper below.

Want to learn more about the 4L Fraud Advisory Council? Email Fast@4LData.com.