highmark

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Highmark Maximizes Medicare Revenues With SAS

With the ever-increasing cost of healthcare in the United States, providers and insurers can't afford to under-report potential risks associated with their Medicare/Medicaid patients. Otherwise, they risk losing money when they provide necessary services that might not be related to the initial diagnoses reported to the Centers for Medicare &...

Tags: Revenue, Patient, Medicare, SAS Institute, Health Care, Highmark, Healthcare

Case studies

Additional Resources

Prepaid health card? Not really.

A healthcare VISA gift card being promoted at Givewell.Com really isn't. Well, it isn't a healthcare card. What it is, Shawn Collins of AffiliateTip writes, is a debit card, loaded by the buyer, which can be redeemed at any merchant which takes Visa. This is revealed in the site's FAQ. But...

Tags: Card, Health Care, Back-office Operation, Vertical Industries, Benefits, Healthcare, Enterprise Software, Software, Human Resources, Dana Blankenhorn

Blog posts 2007-12-20

Can HiTrust bring electronic health records forward?

HiTrust the Health Information Trust Alliance has launched with great fanfare. Its mission is to "a common security framework for use by all parties that create, access, store or exchange personal health information." Sounds promising. Its common security framework PDF would establish...

Tags: Security, Electronic Health Record, Health Care, Vertical Industries, Healthcare, Benefits, E-health, Enterprise Software, Software, Human Resources, Dana Blankenhorn

Blog posts 2007-12-19

Fireman's Fund sees strategic differentiation in SOA

Fireman's Fund is one of several leading adopters of Service Oriented Architecture SOA in the insurance industry. The company, which generates $4.3 Billion in premium revenue, is relying on SOA to consolidate 70% of its technology applications. By more effectively aligning business with IT and strengthening its relationship with agents,...

Tags: Fireman, Fred Matteson, SOA

Blog posts 2005-08-21

Highmark Makes Healthcare-Fraud Prevention Top Priority With SAS

Health insurance fraud exacts a cruel toll on society, undercutting the quality of care and straining patients' wallets. The U.S. Government Accountability Office estimates that of the $1.7 trillion Americans spend on healthcare each year, between 3 and 10 percent is fraud related. Fortunately, companies like Highmark - the Pennsylvania-based...

Tags: SAS Institute, Health Care, Health Insurance Fraud, Benefits, Healthcare, Vertical Industries, Human Resources, Enterprise Software, Software

Case studies