Blue Cross of California, Thousand Oaks, Calif., has expanded its physicians technology initiative to include 1,040 safety net physicians in California. Traditionally, safety net physicians provide care to the uninsured, poor and low-income patients, including those enrolled in the Medi-Cal and Healthy Families insurance programs.With an additional $2 million in funding, this technology initiative will help these physicians improve patient care, achieve greater efficiency and improve administrative functions. These new technologies are intended to provide greater access to information and data exchange via the Internet or wireless handheld devices.

For years, life insurance providers and their agents have relied on obtuse, text-heavy sales presentations to their individual customers. Too often, though, poor sales presentation tools fail to enlighten individuals concerning the magnitude of a life purchase.

It's no secret that for insurers, aligning technology staffs and business units into a full partnership has been challenging. Frederick Matteson, the newly appointed chief information officer for Novato, Calif.-based Fireman's Fund Insurance Co., isn't able to fully grasp the automation-related woes that have bedeviled insurers. That's because Matteson has deftly been able to avoid them himself.Having spent a number of years as an executive in the brokerage industry, Matteson championed the concept of total alignment between IT and business long before it became commonplace. A proponent of disciplined strategic scenario planning, Matteson has a keen sense of determining early on whether to expand or reduce a corporatewide initiative, including those centered on information technology.

Unlike previous industry attempts to standardize data exchanges between carriers, agents and third-party partners, it appears that XML is the real deal. Still, the industry has a long way to go before support for ACORD XML turns into widespread adoption.ACORD's XML specifications-covering property/casualty, life, and reinsurance- were designed for transferring data across firewalls, but some carriers are exploring use of the standards as a cost-effective internal integration tool for extracting data from legacy systems. In addition to controlling costs and opening access, such internal data integration capabilities may also help companies meet growing demands from regulators for increased accountability in internal operations.

When it comes to inefficiencies surrounding information technology security practices, global corporations are discovering that to err is human.A survey conducted by Oakbrook Terrace, Ill.-based global trade association Computing Technology Industry Association (CompTIA) discovered that human error-defined mainly as a lack of adequate certification and training-is the root cause of lax IT security at most corporations.

The number of career agents-the largest distribution channel for life insurance-dropped significantly in a decade, down from 238,000 in 1990 to 178,000 in 2000. In addition, by 2010, 13.2% of the U.S. population will be 65 or older.These demographics present life insurers with product, distribution and operational challenges as fewer agents are available to sell new-sometimes complex-products to consumers who are planning for their retirement years.

Blue Cross and Blue Shield of Rhode Island needed to get a handle on lengthy call center calls, but not at the expense of reducing customer service. The Blues plan found a solution that accomplished these and other management goals.Time is a critical element of virtually every business process, but it is particularly crucial for customer service. When Providence-based Blue Cross and Blue Shield of Rhode Island (BCBSRI) decided to improve its call center operations, it established several goals, one of which was to reduce the average handling time per call by 20%.

A wise insurance executive-perhaps a chief information officer-once stated: "The strategies that worked for us in the past are the same ones that will cause us to fail in the future. That's because those strategies are only competitive for awhile."Carl Ascenzo, chief information officer for Boston-based Blue Cross Blue Shield of Massachusetts, didn't deliver this proclamation, but he easily could have. Over the years, in a career spent at Aetna Health Plan and PriceWater-houseCoopers before coming to BCBSMA, Ascenzo has seen things that were seemingly built to last fall by the wayside.

Barbara Piehler represents a new breed of corporate CIO, one that no longer requires extensive information technology experience. In the insurance industry, this trend has been reinforced recently through the appointment of several CIOs who have built their reputations on the business side of the industry.But, while many of these executives eventually blended IT with business competency prior to taking over as CIO, Piehler, who is senior vice president, information systems, and CIO for Milwaukee-based Northwestern Mutual Life Insurance Co., had only accumulated about a year of information systems' experience by the time she assumed the CIO position in October 2002.

ST. PAUL, Minn. -- Through aggressive health care fraud investigations and coordination among other states' Blue Cross plans, the Blue Cross Special Investigations Unit (SIU) stopped payment on $8.7 million of suspect claims last year, reducing the impact of fraud on premiums in Minnesota.

The majority of insurance companies already maintain a rigorous corporate governance model to protect the financial interests of their policyholders and shareholders. So why does the Sarbanes-Oxley act have the industry aflutter? New research from TowerGroup, a Needham, Mass.-based research and consulting firm, finds insurers are realizing that the law can serve as a catalyst for long- term financial systems architecture strategy and process improvements."The globalization of insurance and the current complex regulatory environment necessitate a systematic, integrated approach to risk management," says Cindy Saccocia, senior analyst in the Insurance practice at TowerGroup and author of the report, titled "Sarbanes-Oxley and Insurance: Requirements, Hype, and Opportunity."

Atlanta-based Blue Cross and Blue Shield of Georgia has launched the Clear Claim Connection, an online product and service for its network providers. This product, created by McKesson Corp., enables BCBSGa to share with network providers the auditing rules and clinical rationale which exist in the claims billing and auditing code system used by BCBSGa.John Watts, president and chief executive officer of BCBSGa, says, "This important service will enable network physicians and their office staffs to review our payment methodology online. By providing this service, we hope to make our reimbursement policies more readily accessible and reduce misunderstandings among providers, members and BCBSGa."

Each year, more insurers appear to be increasing their budgets in implementing sophisticated fraud detection systems; however, the majority of these investments are centered around post-payment fraud detection rather than detecting fraud prior to claims being paid.

Employees of Armonk, N.Y.-based IBM Corp. who are members of the Alliance@IBM, CWA Local 1701, have a sharp message for management to deliver at IBM's annual meeting today. Alliance members are passing out leaflets to shareholders as they arrive and address the meeting on key shareholder proposals. Following the meeting, they are joining members of the Programmers Guild, Jobs with Justice and other union supporters in a rally opposing the offshoring of American jobs by U.S. high tech companies

Los Angeles-based Marshall & Swift / Boeckh (MS/B) will be acquired by MacDonald, Dettwiler and Associates Ltd., Richmond, B.C., Canada.MDA is a global information company providing property-specific information to businesses and governments. Operating through two groups Information Products and Information Systems, MDA is active in data collection, information extraction, and information distribution.

Denver, CO--Valen Technologies, a provider of intelligent predictive analysis and decision enabling software, announced the availability of a premium modification module for its predictive underwriting software, Risk Manager. The new module develops a sophisticated, multivariate pure premium model that underwriters use on a daily basis to surcharge and discount policies more effectively.

Preferred Medical Claim Solutions (PMCS), Scottsdale, Ariz., and Genelco Software Solutions, a division of Greenville, S.C.-based Liberty Insurance Services Corporation (LIS), have formed a strategic partnership that will provide Genelco Group+ users access to the Preferred Data Interchange (PDI) offered through PMCS. Genelco Software Solutions provides administration software and services to life and health insurers."A number of Genelco Group+ users wanted the claim funding and repricing that PMCS provides," says Mike Molinar, vice-president of Genelco Software Solutions. "Knowing that this will save our clients money, we thought it very important to provide a seamless way for them to take advantage of the PMCS network."

San Diego, CA--WorldGroup has introduced InsureWorx First Report of Injury (FROI), the latest InsureWorx On Demand Solution (ODS). The new FROI capabilities offer exceptional efficiency and customer service to the First Report of Injury process, enabling efficient and timely intervention - critically important to controlling overall costs of workplace injury claims. The company launched the solution at RIMS Annual Conference & Exhibition.

SAN DIEGO, CA---Assurex Global, the world's largest privately held risk management, commercial insurance and employee benefits broker group, is launching new software to enhance communication and information-sharing among its independent broker partners and commercial clients around the world. The software was introduced here at the Risk and Insurance Management Society's annual conference.

Prudential Financial Inc., Newark, N.J., has launched a new online disability claim submission application for employees of group disability clients. The new functionality also lets employees handle many aspects of their claims using a highly secure and confidential online process."Continuing to provide our clients and their employees with the secure tools they need to effectively manage disability issues is of paramount importance to us," says Al Hemond, vice president of disability risk management for Prudential's group insurance business. "Online employee claim submission supports our strategy of providing claims management services that are responsive to the varying needs of claimants."