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Follow on Google News | Intelimedix Launches Tru:Beacon For Comprehensive Cost-ContainmentDeterministic algorithms and predictive modeling detect unnecessary treatment, inappropriate payments, protocol, fraud and identity theft
By: Cook & Schmid Built on the collective knowledge of people at the forefront of controlling healthcare costs, Tru:Beacon spans the breadth of cost challenges facing health plans today. It leverages proprietary deterministic algorithms to uncover inappropriate payments, known fraud schemes and treatment variations, as well as other cost-increasing occurrences. Its predictive modeling capability employs profiling and pattern recognition to detect such problems as provider fraud, member misuse and identity theft. Utilizing a collaborative development and multiparty validation model, including Intelimedix’ “Healthcare reform and the economic downturn have intensified the need for health plans to control costs, and placed a focus on expenses associated with fraud, waste, and other issues that do not contribute to care,” said Intelimedix president and CEO Joel Portice. “Tru:Beacon offers health plan executives a precise means of identifying opportunities to save medical costs without sacrificing quality of care for their members.” The new offering provides additional value to Intelimedix’ Tru:Beacon is one offering in Intelimedix’ Intelimedix’ About Intelimedix: Intelimedix (IMX) offers predictive healthcare analytics and business intelligence solutions to identify, capture and reduce financial and medical risk. IMX solutions provide actionable intelligence focused on: cost containment, employer group reporting, outsourced analytics, data aggregation, and pharmacy cost management. The company’s customizable solutions can be implemented quickly with minimal programming. IMX is a privately held company that has strategic investment from a consortium of Blue Cross and Blue Shield licensees called BP Informatics, LLC. More information is available at http://www.intelimedix.com. End
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