Weekly Newsletter - December 28.2018

Posted by Alex Smith on Dec 28, 2018 4:42:00 PM


Justin Adams' Podcast with Sansoro Health

Posted by Alex Smith on Dec 27, 2018 6:01:10 PM

We're very excited to announce that our CEO, Justin Adams, was featured as a guest on the 4x4 Health Podcast series with Sansoro Health. In this podcast,  Justin talks about his experiences in applying artificial intelligence to health care business processes.  Justin offers some fresh and astute observations about the current economic and operational state and opportunities to “stop putting band aids on problems and completely rethink them.” 

Weekly Newsletter - December 21.2018

Posted by Alex Smith on Dec 26, 2018 1:22:33 PM


What the Heck is a Gold Card and Why is it the Future of Utilization Management?

Posted by Justin Adams on Dec 19, 2018 1:54:00 PM

When you hear the word “Gold Card” the typical person may immediately think about an American Express credit card—a baseline transaction tool that is also a gateway to perks and discounts that are designed to reward reliable buying patterns and top-tier credit (and to incentive continued behavior).

But the idea of a “gold card” isn’t restricted to just the consumer credit market—it has taken hold in a unique way in the healthcare industry, particularly affecting how healthcare providers submit “prior authorizations” and, correspondingly, how health insurance plans conduct “utilization management.” While arguably not as exciting as getting free airline and hotel points, our type of gold carding is infinitely more valuable to society and in bringing down the administrative costs of healthcare while increasing quality.