Contributor: Trevor Beach
We know it’s there, but in many cases the extent and complexity of manual pricing can be significantly under estimated. If we choose to be complacent by ignoring the elephant in the room and maintaining the status quo, ever increasing volumes of manual pricing have the potential to consume asset management and fund administration pricing teams and in turn expose firms to huge risk.... read more
Contributor: Theresa Freas
As part of my blog series on “Medical Charts: Request Once, Use Many,” I highlighted the added expense associated with health insurance plans making repeated requests for the same medical chart or related documentation. But there are other reasons why a plan should focus on “request once, use many.” By re-using information instead of requesting new documents each and every time the information is needed, health plans will find improved provider satisfaction and, in turn, improved member satisfaction, not to mention improved HEDIS (Healthcare Effectiveness Data and Information Set) and CMS Star ratings.... read more
Contributor: Theresa Freas
We’re all familiar with the adage “create once, use many” -- for example, reusing information, processes or tools instead of building from scratch each and every time. The target result: reduced costs, less waste and happier constituents. The acquisition of medical charts and related documentation is no exception.... read more
Contributor: Roy Massie
What stymies forward progress more than anything? Not enough of the right people with the right skillset to take on key projects that contribute to an organization’s future state. Simply put… the lack of capacity and expertise. Many health plans today do not have adequate staff, even for important projects. Compounding this problem is that inefficient processes and systems drain resources that could otherwise be focused on growth. They want to grow their business, but are so busy just keeping the lights on that they struggle to take on strategic projects, even when they are important to future growth.... read more
Contributor: Brad Mintun
“Do more with less,” is the mantra of consultants and the marching orders of senior executives. In today’s world of increased competition and compressed margins, companies want methods to improve efficiency. Automation is the “low-hanging fruit,” often offering “wins” for both the business and technical teams.... read more
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