Smart Card A Great Idea, But When?


It costs about $19 to process a single health care claim, according to a survey by Milliman & Robertson, the actuarial firm. Now, an electronic system designed to whittle the cost and time involved in claims resolution may be around the corner.

RealMed, an Indianapolis-based software developer and system integrator, plans to unveil a "smart card" system electronically linking physicians with payers — thus eliminating paper work, cutting claims adjudication time to minutes and, says RealMed, slashing claims processing costs by 70 percent.

Sounds great, but for now, RealMed is a middleman without anyone on either side. At a news conference, Todd Morris, vice president for marketing, announced the system would "go live this spring," but refused to name participating insurers or even a debut market — saying cryptically, "We are committed to finding a geography and partners that will ensure the critical mass to be able to penetrate a market." Pressed, Morris admitted that no payers or physicians had signed contracts. Perhaps spring is a bit optimistic?

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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