---
title: Reliable Software Blog | Health Insurance
description: Health Insurance | Original thoughts and ideas from Proskale.
---

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# CATEGORY: health-insurance

[![How can you improve your COB effectiveness?](https://blog.rsrit.com/hubfs/How%20can%20you%20improve%20your%20COB%20effectiveness.jpg)](https://blog.rsrit.com/how-can-you-improve-your-cob-effectiveness)

## [How can you improve your COB effectiveness?](https://blog.rsrit.com/how-can-you-improve-your-cob-effectiveness)

[April 25, 2022](https://blog.rsrit.com/how-can-you-improve-your-cob-effectiveness) [Gordon MacMaster](https://blog.rsrit.com/author/gordon-macmaster) [Health Insurance](https://blog.rsrit.com/tag/health-insurance), [COB](https://blog.rsrit.com/tag/cob), [Lia](https://blog.rsrit.com/tag/lia), [Coordination of Benefits](https://blog.rsrit.com/tag/coordination-of-benefits)

With restricted margins and changing bargaining relationships as providers consolidate and evolve, [health insurers](https://www.rsrit.com/insurance/) are looking more than ever to [coordination of benefits](https://www.rsrit.com/lia-cob/) 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\[…\]

[Read More](https://blog.rsrit.com/how-can-you-improve-your-cob-effectiveness)

[![Why it’s complex to deliver quality service to health plans](https://blog.rsrit.com/hubfs/Why%20it%E2%80%99s%20complex%20to%20deliver%20quality%20service%20to%20health%20plans.jpg)](https://blog.rsrit.com/why-its-complex-to-deliver-quality-service-to-health-plans)

## [Why it’s complex to deliver quality service to health plans](https://blog.rsrit.com/why-its-complex-to-deliver-quality-service-to-health-plans)

[April 25, 2022](https://blog.rsrit.com/why-its-complex-to-deliver-quality-service-to-health-plans) [Gordon MacMaster](https://blog.rsrit.com/author/gordon-macmaster) [Health Insurance](https://blog.rsrit.com/tag/health-insurance), [data strategy](https://blog.rsrit.com/tag/data-strategy), [COB](https://blog.rsrit.com/tag/cob), [Lia](https://blog.rsrit.com/tag/lia), [Coordination of Benefits](https://blog.rsrit.com/tag/coordination-of-benefits)

When it comes to IT, [health plans](https://www.rsrit.com/insurance/) 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](https://www.rsrit.com/strategy-and-advisory/), governance and operation of high-quality IT infrastructures. Getting it right requires expertise and effort that few other industries demand.

[Read More](https://blog.rsrit.com/why-its-complex-to-deliver-quality-service-to-health-plans)

[![Why health plans lose money on payment integrity programs](https://blog.rsrit.com/hubfs/Why%20health%20plans%20lose%20money%20on%20payment%20integrity%20programs.jpg)](https://blog.rsrit.com/why-health-plans-lose-money-on-payment-integrity-programs)

## [Why health plans lose money on payment integrity programs](https://blog.rsrit.com/why-health-plans-lose-money-on-payment-integrity-programs)

[April 25, 2022](https://blog.rsrit.com/why-health-plans-lose-money-on-payment-integrity-programs) [Gordon MacMaster](https://blog.rsrit.com/author/gordon-macmaster) [Health Insurance](https://blog.rsrit.com/tag/health-insurance)

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.

[Read More](https://blog.rsrit.com/why-health-plans-lose-money-on-payment-integrity-programs)

[![AI and machine learning revolutionize the health insurance industry](https://blog.rsrit.com/hubfs/AI%20and%20machine%20learning%20revolutionize%20the%20health%20insurance%20industry.jpg)](https://blog.rsrit.com/ai-and-machine-learning-revolutionize-the-health-insurance-industry)

## [AI and machine learning revolutionize the health insurance industry](https://blog.rsrit.com/ai-and-machine-learning-revolutionize-the-health-insurance-industry)

[July 03, 2019](https://blog.rsrit.com/ai-and-machine-learning-revolutionize-the-health-insurance-industry) [Gordon MacMaster](https://blog.rsrit.com/author/gordon-macmaster) [Health Insurance](https://blog.rsrit.com/tag/health-insurance)

[Health insurance](https://www.rsrit.com/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.

[Read More](https://blog.rsrit.com/ai-and-machine-learning-revolutionize-the-health-insurance-industry)

[![Factors leading to payment integrity challenges](https://blog.rsrit.com/hubfs/Factors%20leading%20to%20payment%20integrity%20challenges-2.jpg)](https://blog.rsrit.com/factors-leading-to-payment-integrity-challenges)

## [Factors leading to payment integrity challenges](https://blog.rsrit.com/factors-leading-to-payment-integrity-challenges)

[March 14, 2019](https://blog.rsrit.com/factors-leading-to-payment-integrity-challenges) [rsrit](https://blog.rsrit.com/author/rsrit) [Health Insurance](https://blog.rsrit.com/tag/health-insurance), [Coordination of Benefits](https://blog.rsrit.com/tag/coordination-of-benefits)

While the basic challenges to health insurance [payment integrity](https://www.blog.rsrit.com/payment-integrity-transformation-with-data-analytics) remain largely the same – ensuring responsibility for the claim, the eligibility of the consumer, the coverage under the contract, the validity of the claim and the lack of fraud, waste and abuse – the range of factors that bear on those challenges has expanded over time. Fortunately, so have the capabilities of insurers to deal\[…\]

[Read More](https://blog.rsrit.com/factors-leading-to-payment-integrity-challenges)

[1](https://blog.rsrit.com/tag/health-insurance/page/1) [2](https://blog.rsrit.com/tag/health-insurance/page/2) [3](https://blog.rsrit.com/tag/health-insurance/page/3)

[»](https://blog.rsrit.com/tag/health-insurance/page/2)

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