AUTHOR: Gordon MacMaster

Recent Posts

Returning to Work in the Post Quarantine World

Returning to Work in the Post Quarantine World

A COVID19 outbreak at work? No one wants that to happen. As we get back to work, the spread of COVID19 will continue to be a risk. For exempt essential businesses, COVID19 has resulted in loss of life, shut downs, and disinfection costs like the hotpots below: Everyone is looking for ways to avoid becoming[…] Read More
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 run some of the most profound changes to the industry have happened behind the scenes. The application of artificial intelligence and machine learning have impacted some of the industry’s most important practices.

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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 Outdated, inefficient and ineffective COB and FWA processes can result in higher payouts, increased administrative costs and decreased customer[…]

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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 insurance. Some of the pressures come from standard sources such as governments, employers and providers, while others are driven by broader demographic or technological trends. Whatever the root cause might be, health insurers will continue to value adaptability, cost containment and[…]

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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 health insurance marketplace does create challenges that require careful and strategic work by insurers and their partners to address.

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