AUTHOR: Gordon MacMaster

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AI and machine learning revolutionize the health insurance industry

AI and machine learning revolutionize the health insurance industry

Health insurance policy changes at the federal level have captured the headlines in recent years, but in the long[…]

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How to manage overall cost recoveries? 5 ways to recover

How to manage overall cost recoveries? 5 ways to recover

While Coordination of Benefits (COB) and fraud, waste and abuse (FWA) have been a part of the insurance industry for[…]

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Why health plans lose money on payment integrity programs

Why health plans lose money on payment integrity programs

Health plans make large investments to automate outdated processes when it comes to claims payment integrity[…]

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Why is it so hard for health plans to find quality data analytics solutions?

Why is it so hard for health plans to find quality data analytics solutions?

While healthcare is famously complex, it shouldn’t be as hard as it is for health plans to find and manage advanced […]

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10 Health Insurance Trends for 2019

10 Health Insurance Trends for 2019

For an industry that has undergone immense change in recent years, 2019 looks to be more of the same for health[…]

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Top big data analytics challenges in health insurance

Top big data analytics challenges in health insurance

While the benefits of big data analytics for health insurers are increasingly well known, the unique nature of the […]

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Predictive Analytics in health insurance: Retain high value customers

Predictive Analytics in health insurance: Retain high value customers

Customers don’t contact their insurer to let them know that everything’s great or that they’re completely satisfied[…]

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How to manage healthcare claim recovery

How to manage healthcare claim recovery

Most health insurer coordination of benefits (COB) models work on a claim-by-claim basis, identifying claims that[…]

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Trends in healthcare coordination of benefits for 2019

Trends in healthcare coordination of benefits for 2019

While coordination of benefits (COB) used to be a relatively simple, albeit time-consuming process of tracking down[…]

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The Future of AI is Enormous

The Future of AI is Enormous

In the current state of the art, artificial intelligence involves computers processing data, identifying patterns in[…]

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