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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 almost as long as there’s been an insurance industry, they’ve taken on a new level of importance for today’s health insurers. Outdated, inefficient and ineffective COB and FWA processes can result in higher payouts, increased administrative costs and decreased customer[…]

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Insurance companies are embracing analytics to reduce risk

Insurance companies are embracing analytics to reduce risk

Collecting relevant data and analyzing it to identify both potential risks and opportunities is nothing new to insurance companies. In fact, insurance actuaries been early adopters of the most cutting-edge statistical analysis tools available since insurers were first writing policies on cargo transported by sailing ships and trade caravans. It was those early efforts in analytics that enabled[…]

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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Health plans make large investments to automate outdated processes when it comes to claims payment integrity expecting significant savings. Unfortunately, with this approach the expected savings don’t always materialize.

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How to Set and Achieve Workplace Goals

How to Set and Achieve Workplace Goals

Everyone has their own professional goals, but how many of us achieve them all during a lifetime? In the workplace you have to be active towards your work, define the roles of each of your team members, and align your own goals with company aspirations. The following are some key points on how to set and achieve goals in the workplace:

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Can modernizing legacy systems streamline banks’ business strategies?

Can modernizing legacy systems streamline banks’ business strategies?

Legacy systems handle mission-critical functions in organizations of all sizes in every industry. They live on for a variety of reasons, but overwhelmingly their continued existence boils down to the belief that replacing them with modern tools would cause more disruption and incur more cost than it would be worth. The assumption in that calculation is that someday the cost of the legacy tool[…]

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