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Health Medical Mutual of Ohio Seeks to Discourage Fraud Before It Occurs Medical Mutual of Ohio leverages ViPS' Star Sentinel software to identify potentially fraudulent claims activity as it comes through the door, discouraging fraud before it begins. Kryptiq’s Choreo Powers Regence’s Contract Management Across the Enterprise Kryptiq gives Regence a single contract management solution across the insurer's provider network. Enclarity Partners with Mitchell Medical Enclarity has partnered with Mitchell Medical to sell its ProviderPoint solution. Exclusive Research Report: Insurance IT Spending Slowdown Already Upon Us, TowerGroup Says While past profits will soften the blow on IT spending, the current down market will result in budget constraints for North American insurers. But spending on improving ease of doing business, agency support, customer interaction and enterprise risk management likely will increase. BCBS of Florida Enters the Retail Market Blue Cross and Blue Shield of Florida creates retail stores to sell health insurance and other coverage directly to individual consumers. Metavante To Acquire Bensoft Metavante plans to acquire BenSoft and its RepayMe solution. Tufts Health Plan Expands Emdeon Relationship Tufts Health Plan will add payment management services an existing relationship with Emdeon Business Services. PHS Chooses Duck Creek Preferred Health Systems will use Duck Creek's Healthcare Solution for Sales Automation. Real-Time Information Crucial To Informed Healthcare Decisions Facing increased pressure to control costs, the health insurance industry must empower consumers to make informed healthcare decisions by providing them with access to real-time information. Aetna, CIGNA, Empire BlueCross Establish Standards With New York State AG Aetna, CIGNA and Empire BlueCross have reached an agreement with the New York State Attorney General on standards for physician-rating programs. Insurance Industry Faces A Number Of Critical Issues In 2008 Executives from the industry associations that represent each insurance sector speculate on the most urgent issues facing their lines of business in 2008. Technology, Innovation Enable Health Insurers To Address Challenges Health insurers are integrating new technology tools, such as personal health records (PHRs) and e-prescribing, to deliver information quickly and lessen administrative burdens. Microsoft launches HealthVault, Insurance Carrier Partnerships Could Follow Microsoft's initial announcement of healthcare management portal HealthVault came without news of carrier partnerships. But that's likely to change. WellPoint Partners With Zagat WellPoint partners with Zagat to offer an online peer-to-peer physician rating tool to the insurer's members. WellPoint Partners With Zagat WellPoint has tapped Zagat to help offer a physician rating tool to its members. Wellpoint’s Mark Boxer Exemplifies How Empowering Technology Can Be In A Healthcare Setting WellPoint President and CEO of Operations Mark Boxer has achieved prominence in the health insurance industry through a combination of technology depth and a resolute focus on the business. Aetna CIO Meg McCarthy Brings Disciplined Delivery to Aetna Aetna CIO Meg McCarthy applied her 20-plus years experience in the IT consulting and healthcare fields to bring the carrier to new levels of process excellence, efficiency and delivery volume. CareFirst BCBS Chooses Benefitfocus Carefirst BlueCross BlueShield will use eEnrollment software technology from Benefitfocus.
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WHITEPAPER ACORD Made Easy with XQuery Learn how DataDirect XQuery helps organizations quickly and cost-effectively implement ACORD-based standards and maintain compliance. A high-performance, scalable XML solution, DataDirect XQuery dramatically improves developer productivity and enterprise deployment timelines. |
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