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HealthAetna is leveraging the NaviNet healthcare administration tool to deliver electronic quality-of-care alerts to its provider network. Bob Worthington has been named senior vice president and chief strategy officer at BlueCross BlueShield of Tennessee. From driving product innovation and acquisition activity to the greening of the business, these CEOs are likely to be in the spotlight in the coming year. Investment in data management technologies and adoption of "green" business principles are among the ways Vicky Gregg, president and CEO of BlueCross BlueShield of Tennessee, is trying to change the way health insurers do business. Medical Mutual of Ohio leverages ViPS' Star Sentinel software to identify potentially fraudulent claims activity as it comes through the door, discouraging fraud before it begins. Kryptiq gives Regence a single contract management solution across the insurer's provider network. Enclarity has partnered with Mitchell Medical to sell its ProviderPoint solution. While past profits will soften the blow on IT spending, the current down market will result in budget constraints for North American insurers. But spending on improving ease of doing business, agency support, customer interaction and enterprise risk management likely will increase. Blue Cross and Blue Shield of Florida creates retail stores to sell health insurance and other coverage directly to individual consumers. Metavante plans to acquire BenSoft and its RepayMe solution. Tufts Health Plan will add payment management services an existing relationship with Emdeon Business Services. Preferred Health Systems will use Duck Creek's Healthcare Solution for Sales Automation. Facing increased pressure to control costs, the health insurance industry must empower consumers to make informed healthcare decisions by providing them with access to real-time information. Aetna, CIGNA and Empire BlueCross have reached an agreement with the New York State Attorney General on standards for physician-rating programs. Executives from the industry associations that represent each insurance sector speculate on the most urgent issues facing their lines of business in 2008. Health insurers are integrating new technology tools, such as personal health records (PHRs) and e-prescribing, to deliver information quickly and lessen administrative burdens. Microsoft's initial announcement of healthcare management portal HealthVault came without news of carrier partnerships. But that's likely to change.
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