Although predictive technology can better forecast who will need healthcare, health plans fall short in clinical interventions because their medical management is fragmented and inefficient and they lack economic incentives for doctors to participate, concludes a research brief from Forrester Research Inc., Cambridge, Mass. Health plans should invest in data mining, nonetheless, the brief states, because predictive models help them to refine pricing, improve quality and manage cash flow. To make the most of the data they have, Forrester advises insurers to select a knowledge engineering partner such as Ingenix, MEDai, iMcKesson and CareSteps, which offer data mining and analysis. In addition, plans should coordinate data cleanup and integration with HIPPA compliance. Forrester also suggests that insurers pilot Internet-enabled care management technologies to improve access to real-time patient information, automate workflow and track adherence to best practice guidelines.
-
By collaborating, cybersecurity professionals and insurance providers can share insights, best practices, and trends in cyberthreats, creating a more secure environment for all.
April 23KnowBe4 -
The insurtech development program, seeing frequent participation from Americas-based startups, dedicates latest cohort to regional entries.
April 23 -
AI has great risks for underwriters but also great potential benefits, according to Randy Paez, chief financial officer of Ambac. Paez spoke with Digital Insurance about how to leverage data and integrate AI into insurance operations.
April 23 -
The top five insurance companies have an average P&C market share of 6.50% as of December 31, 2023.
April 23 -
Lloyd's appointed Dawn Miller as chief commercial officer, and CEO of Lloyd's Americas; plus more career moves.
April 22 -
Greater exposure to climate risks is driving an increase in insurance premiums and decrease in insurance availability.
April 22