Like other consumers, health insurers don’t enjoy feeling the pain that comes with the realization that you’ve paid too much for something. As such, they are known to employ a variety of strategies as part of their overpayment recovery programs.
Employers of all kinds, particularly those who have a high percentage of employees with chronic conditions, often struggle to determine which health benefits will support their efforts to maintain a healthy workforce. Often, employers turn to their benefits brokers to guide them in the right direction. Brokers today leverage advanced analytics that use robust data sets in order to confidently provide data-driven consulting to their employer clients.
When people first meet – whether it’s on a blind date or as college roommates or as new work colleagues – questioning ensues: Where did you grow up? What hobbies do you have? What kinds of food do you like? By getting to know one another, we know how to interact with each other.
During a recent webinar entitled Call Letter Chat: Understanding and Planning for CMS’ Policy Changes, Tom Peterson, Senior Vice President, and Pam Klugman, SCIO’s Risk Adjustment Expert, explained not only why it is important to understand all the details of the new Centers for Medicare and Medicaid Service's (CMS) Hierarchical Condition Category (HCC) Risk Adjustment Model outlined within the document but how to deal with these new developments as well.