CATEGORY: health-insurance

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 […]

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Health plans make large investments to automate outdated processes when it comes to claims payment integrity[…]

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Factors leading to payment integrity challenges

Factors leading to payment integrity challenges

While the basic challenges to health insurance payment integrity remain largely the same – ensuring responsibility[…]

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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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Payment integrity transformation with data analytics

Payment integrity transformation with data analytics

Health insurers have always faced a deceptively simple challenge: Paying just the claims that they should, in the[…]

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The Unintended Bias of Data Driven Decisions

The Unintended Bias of Data Driven Decisions

Are data driven decisions influenced by Confirmation Bias?

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Addressing Key

Addressing Key "Coordination of Benefits" Challenges with Data

According to the Census, over 20 percent of the population has more than one health insurance plan. Accurately[…]

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