AMS (Advanced Medical Strategies)

AMS (Advanced Medical Strategies) is thrilled to announce the upcoming launch of a highly anticipated feature within PredictDx. By integrating #pricetransparency data from PredictPx, we are taking transparency and precision in treatment plan insights to a whole new level. This enhancement is tailored for your needs in cost of care, payment integrity, and risk management. The video below is a representation for Acute Pancreatitis and showcases detailed cost comparisons across various treatment options and insurance plans. PredictDx, your ultimate resource for detailed clinical information and financial analytics on the costliest medical diagnoses, now offers unparalleled insights with PredictPx's comprehensive price transparency data with access to over 18B records from over 5k+ providers and ~100 Top health plans. PredictPx includes over 94M useable price transparency rates, and is supplemented with key benchmark data. Some key highlights of the new module include detailed state-level insights, provider-level accuracy, plan-level comparisons, and code-level details. Through the collaboration of AMS' team of doctors, clinicians, and coders, this powerful integration has resulted in the industry's first fully transparent treatment plan insights. This milestone has been a long-awaited vision of mine and Stacy Borans, MD. After 4 years of hard work, we are incredibly proud of the AMS team for bringing this vision to life. #HealthcareInnovation #PriceTransparency #PredictDx #PredictPx #HealthcareAnalytics #CostManagement

Attention Stop Loss Underwriters & Clinicians: The choice is yours this renewal season. Are you still relying on traditional methods to review every single file this renewal season? Are you planning to spend hours formatting spreadsheets and then even more time reading line by line until your eyes hurt? What are the chances that you miss something major like a pending transplant or gene therapy after spending 12 hours reading the small font on a 30,000-row Excel file? There is a better way. It's not too late to implement AMS (Advanced Medical Strategies) Profiler for this renewal season. With Profiler, you no longer have to spend hours formatting and merging files. Imagine having every unique file format look the exact same after just ~5 minutes. Then, imagine being able to zip through a massive file in just a few hours (or less) without the fear of missing something major. Want to actually enjoy this upcoming renewal season? The choice is yours. #HealthInsurance #Underwriting #StopLoss #Healthcare #PredictiveAnalytics #BigData #DataAnalytics #Insurance #Innovation

Time Moves Slow in the Healthcare Service Industry, but Lightning Fast in Healthcare Software Over four years ago, I departed from the payment integrity services sector at the onset of the pandemic, after decades of serving major health plans. Leading armies of auditors and experts to mitigate payment errors was rewarding, saving the industry billions. Yet, finding new efficiencies became increasingly challenging within that model. During my first year away, I took time to reflect and research emerging trends, consulting on industry shifts. A clear pattern emerged: health plans sought to consolidate vendors, negotiate lower fees, and transition from post to pre-payment integrity. "Insource First" became the mantra, driven by the need for transparency and control. Traditional vendors operated in opaque ways, focusing on high-return claims without addressing root causes. Technological limitations hindered widespread insourcing, requiring extensive manual intervention. Today, automation has transformed these processes, offering unprecedented efficiency. These trends prompted my return to the industry with Advanced Medical Strategies (AMS), where I could leverage expertise and industry evolution. AMS is at the forefront, disrupting healthcare software with solutions that: - Unleash Cost and Price Transparency - Provide Root Cause Analysis and Content Transparency - Manage Clinical Standards of Care and Find Outlier Claims - Identify Payment Integrity Issues and Combat Price Disparities - Prevent Overpayments and Reduce Fraud - Utilize Advanced Predictive Analytics for Risk Assessment - Offer Actionable Business Intelligence and Data Insights AMS doesn't just cut costs; it enhances accuracy and efficiency through advanced automation. Our solutions empower healthcare organizations to reduce administrative costs, adopt subscription-based models, and maintain operational excellence. Join 3,000+ users who have revolutionized their operations with AMS, addressing complex challenges while optimizing efficiency. Ready to streamline your healthcare risk and payment integrity management? Contact us today to discover how AMS can transform your approach. #HealthcareInnovation #DataInsights #WorkflowAutomation #AMS #BusinessIntelligence #HealthcareTransformation #PaymentIntegrity #RiskManagement #Underwriting #HealthcareTechnology