June 2016

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

Enterprise Risk Management (ERM) 

On May 2, 2016 Charlie Munger of Berkshire Hathaway commented, “I like the idea of artificial intelligence because there is so little of the real thing.” While this comment is strikingly humorous in our world of one liner headlines and communication, will Artificial Intelligence (AI) produce the promise of outstanding results for the risk management field? To learn more about how AI is being utilized in the risk management field, please click here >>

Claim Settlement, Medicare, and Medicare Set Asides

On May 5, 2016, the Centers of Medicare and Medicaid Services (CMS) announced a program to release updated data to increase transparency in the Medicare program. CMS posted utilization and payment public use data for researchers. Additionally on May 23, 2016, CMS provided a technical alert for a list of International Codes of Diseases (ICD) that will be excluded for Mandatory Insurer Reporting for Non Group Health Plans as of January 02, 2017. For more information about these important initiatives and alert, please click here >>

Healthcare

Last year, $130 million was allocated to the National Institute of Health (NIH) to build a national, large-scale research participant group to study precision medicine for all diseases. This year, the first step is to build a national research group of one million or more U.S. participants. For more about how the future results of this study will be important to healthcare and claim professionals, please click here >>