SEEMA VERMA JOINS SHIFT TECHNOLOGY HEALTH CARE ADVISORY BOARD

BOSTON Y PARIS, September 7, 2022 /PRNewswire/ — shift technologya provider of AI-driven decision automation and optimization solutions to the global insurance industry, today announced the formation of the company’s Healthcare Advisory Board and the appointment of Seema Verma, the former administrator of the Center for Medicare & Medicaid Services (CMS), as a strategic advisor to the company and an inaugural member of the Health Care Advisory Board. The Shift Healthcare Advisory Council will help the company address the key issues facing the healthcare payment system and support the continued development of technology solutions needed to solve these complex challenges.

According to the National Health Care Fraud Association (NHCAA), the impact of health care fraud on the United States could be close to $300 billion. When considering other forms of waste and abuse, it is estimated that the total exceeds $1.5 billion. through the company Detection of inadequate payment of health care solution, Shift is working to mitigate the impact of FWA on both public and private healthcare payer organizations. Shift’s AI-native improper payment detection platform leverages advanced data science techniques to enable the discovery of a significantly higher percentage of FWAs, with greater accuracy and efficiency. The platform leverages sophisticated AI and ML healthcare models, based on internal and external data, and a comprehensive health plan data model to detect hidden FWAs.

“There is an incredible opportunity to drive significant improvement in the bottom line for health plans and we are thrilled to be collaborating with one of the best minds in the industry to help us make our vision a reality,” he said. Salil Punalekar, head of US healthcare, Shift Technology. “Traditional static rule-based decision models are outdated and insufficient to identify the wide range of improper payments affecting payers. There is a clear need for comprehensive data-driven approaches and technologies to help payers drastically reduce the impact of the FWA on their organizations and their members.”

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“What Shift brings to the fight against FWA health insurance is truly outstanding and could help the industry save billions of dollars in improper payments,” continued Verma, member of the Shift Technology Health Care Advisory Board. “I am proud to share what I have learned throughout my career with this industry pioneer to help improve health insurance for everyone involved in the process.”

Verma is an expert on national health policy and was the longest-serving administrator of the Centers for Medicare and Medicaid (CMS) in modern history. At CMS, she oversaw health insurance programs for more than 140 million Americans; she managed a budget of $1.3 trillion, which represents almost a third of the federal budget; and managed more than 6,000 employees. In addition, he spearheaded the implementation of more than sixteen strategic initiatives aimed at transforming the American health care system to lower costs, improve quality, and increase access. His leadership in the federal government’s efforts to instill competition in the marketplace, empower patients, and unleash innovation, including efforts to mandate price and quality transparency while ensuring patients own their medical records laptops, produced historic reforms throughout the CSM.

“Seema’s belief in the Shift platform, its ability to drive smart decision-making in payer organizations, and its potential to deliver significant impact to our clients makes her an ideal member of our advisory board,” he said. Jeremy Jawish, CEO and co-founder of Shift Technology. “Her choosing to participate is further validation of our value proposition and the hard work that has gone into building our products.”

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About shift technology

Shift Technology offers AI decision-making solutions to benefit the global insurance industry and its customers. Our products enable insurers to automate and streamline decisions from underwriting to claims, resulting in superior customer experiences, increased operational efficiency and reduced costs. The future of insurance begins with decisions made better. Learn more at www.shift-technology.com.

contacts:
rob morton
Corporate Communications
shift technology
+1.617.416.9216
[email protected]

SOURCE Change Technology

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