Providers utilize business intelligence to monitor referral patterns and collaborate with clinicians who order their services. Such analytics tools have also been deployed in the specialty to improve productivity, track patient satisfaction and bolster quality.
The state is accusing the insurer of colluding with the broader Blue Cross Blue Shield network to stifle competition and control prices. BCBSM denies the allegations.
The hack, which was revealed earlier this year in a report from Bleeping Computer, is said to have been limited to a legacy server. Oracle denied its cloud environment had been compromised.
Independence Blue Cross, the largest medical insurance provider in the Philadelphia area, does not admit to wrongdoing. It was accused in a lawsuit backed by the U.S. Department of Justice of misrepresenting the severity of patient illnesses to juice risk-adjusted Medicare payments.
With its $350M in new funding, EliseAI said it plans to build out its technology and sales force. It currently works with specialty provider groups to automate practice operations such as scheduling and insurance verification.
Patients who owe providers $500 or less in out-of-pocket expenses tend to pay down the bill. Those who owe more than $500 are evidently inclined to ignore collections efforts and pay nothing at all.
When asked to depict people by various descriptors, the image generator delivered lots of results that were unintentionally hilarious for their wild inaccuracy.
Patient advocates state the updated governance would not only integrate coverage for underserved populations but also clamp down on the “games” that Medicare Advantage plans have been known to “play” with Medicaid patients.
