In a new frontier of claims, no- and low-touch handling will reign supreme. But success will depend upon the triage process, effective use of predictive analytics and other factors.

A claims-based monitoring program involves five components to quell opioid misuse and overprescribing.

A claims-based monitoring program involves five components to quell opioid misuse and overprescribing.

In 2008, the State of Florida implemented a Medicare fee schedule to help control skyrocketing medical costs. Per procedure costs soon stabilizedstill well above national benchmarks in areas but seemingly on the way to effective and fair cost management.

In 2008, the State of Florida implemented a Medicare fee schedule to help control skyrocketing medical costs. Per procedure costs soon stabilizedstill well above national benchmarks in areas but seemingly on the way to effective and fair cost management.

Will predictive analytics be the next killer app for claims handling? Insurers seek higher-order optimization opportunities to increase internal efficiencies and customer satisfaction.

An insurer’s data is much more than bits and bytes to be assembled for required regulatory reporting. It is the very lifeblood of the insurance organization and provides the ingredients by which the insight is developed that drives action to improve operational results.