CATEGORY: cob

With restricted margins and changing bargaining relationships as providers consolidate and evolve, health insurers are looking more than ever to coordination of benefits to improve their bottom lines. Fortunately, modern digital tools powered by big data analytics, artificial intelligence and machine learning have revolutionized COB for insurers by putting the patient, instead of the claim, at[…]

When it comes to IT, health plans face a quality problem. In fact, it’s less that they face one problem and more that virtually their entire business model generates challenges for the strategy, governance and operation of high-quality IT infrastructures. Getting it right requires expertise and effort that few other industries demand.

There was a joke in the Soviet Union  that asked - How can anyone predict the future when it's so hard to predict the past?  While it was referring to the revisionist historical practices of the Communist Party, there is some truth about how the past changes.