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Reducing healthcare costs for self-funded employers

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News & Blog

SmartLight Analytics Ranks No. 148 on the 2022 Inc. 5000 Annual List  

NEW YORK, August 16, 2022 – Inc. magazine revealed today that SmartLight Analytics is No. 148 on its annual Inc. 5000 list, the most prestigious ranking of the fastest-growing private companies in America. The list represents a one-of-a-kind look at the most successful companies within the economy’s most dynamic segment
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High volume of small errors can add up to millions in waste for your health plan

The process of paying a medical claim involves multiple stages with built-in checks and balances. Yet because the process used by claims administrators is largely automated and complex, errors in claim payments persist, costing self-funded employers millions. Health insurance companies acting as claims administrators for self-funded employers each use their
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The impact of transparency requirements on the healthcare system

Dr. Franklin Baumann, CMO of SmartLight Analytics, recently talked with Michael Chernew, PhD., Leonard D. Schaeffer Professor of Health Care Policy and the Director, Healthcare Markets and Regulation Lab, Harvard Medical School. The two discussed a variety of topics including waste and low value care in the healthcare system as
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City of Fort Worth prevents $1.7 million in fraudulent pharmacy payments

FORT WORTH, TX – In its work to reduce the cost of employee health care claims, the City of Fort Worth has excluded 24 suspect pharmacies from billing its plan, preventing $1.7 million in fraudulent payments to date, without member disruption. For several years, Fort Worth officials have worked with
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Data Solution to Tackle Fraud, Waste, and Abuse

How the City of Fort Worth Saved Millions In the United States, prescription drug spending in 2020 reached $358.7 billion; $3.5 billion is estimated to be fraud, waste, and abuse. The City of Fort Worth, Texas — the 12th largest city in the U.S. and the 5th largest in the
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Recent Posts

  • SmartLight Analytics Ranks No. 148 on the 2022 Inc. 5000 Annual List  
  • High volume of small errors can add up to millions in waste for your health plan
  • The impact of transparency requirements on the healthcare system
  • City of Fort Worth prevents $1.7 million in fraudulent pharmacy payments
  • Data Solution to Tackle Fraud, Waste, and Abuse

See all SmartLight Blog posts.

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SmartLight White Papers

The expanding cost and responsibilities associated with employer-sponsored healthcare

As the rising costs of healthcare benefits and the rising percentage of employee contributions converge, companies across America are faced with a new scenario that finds them looking for ways to reduce healthcare spending and protect their employees’ contributions. How should a business whose mission is to build cars or develop software deal with this increasingly complicated situation?

Download SmartLight’s Whitepaper:

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SmartLight Analytics combines the best inferential analytic models with a team of analytic  and clinical experts to find fraud, waste, and abuse in self-funded employer health care plan claims data.
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