AMS (Advanced Medical Strategies)

AMS will be closing on Wednesday, November 27, 2024, at 12:00pm EST through Friday, November 29, 2024, for the Thanksgiving holiday. ? AMS will reopen for business on Monday, December 2, 2024, with normal business hours.? ? We are thankful to get to work with clients like you each day. We wish you a very Happy Holiday!

AMS' own Nicolas Andre SVP of Product along with a panel of industry experts;?Gary Nidds, Jason Oswald, @Antony Pfaffle, MD Co-founder and President, OptMyCare Inc., Joanne Wojcik, Contributor, Self-Insurer Magazine, held a fascinating discussion on AI, Machine Learning, Analytics and Interoperability to enhance Risk Management and underwriting initiatives at last week's SIIA's Self-Insurance Institute of America, Inc. National Conference. Technology advancements have truly transformed Risk Management capabilities and the exciting part is, we are just in the early days of reaping the benefits.?More to come! Thank you to everyone who made our time at the conference a success! We are eager to continue the conversations with the connections we made and keep driving excellence in our industry.

Renewal season scaries? Not anymore. Turn hours of work into minutes with Profiler. When the workload piles up, Profiler is the next-level solution you need. Simply drag and drop your largest claims files, and Profiler will analyze the data in minutes, pinpointing the highest-cost claimants and flagging emerging risks. Instantly identify: Premature infants ?? High-risk pregnancies ?? Gene therapies ?? CAR T-Cell therapies ?? Transplants ?? Say goodbye to the painstaking line-by-line review of massive claims files. Profiler does the heavy lifting for you, ensuring you never miss a critical detail. If you're looking to review more groups with greater accuracy in less time, AMS (Advanced Medical Strategies) has the solution for you. #UnderwritingSimplified #MedicalManagement #HighCostClaimsAutomation #ForceMultiplier #GeneTherapy #CellTherapy #StopLoss

AMS (Advanced Medical Strategies) PredictPx visual analysis represents a significant leap forward in how we understand and utilize price transparency data, particularly in the realm of healthcare costs associated with vaginal births. By compiling and analyzing all available provider MRF data, this tool brings us closer to true transparency, even as we navigate the challenges posed by incomplete information. In reviewing the costs associated with vaginal births, the PredictPx analysis sheds light on a diverse and complex pricing landscape. While the data encompasses all relevant codes and quantities, it also highlights a critical issue: not all providers have published rates for every applicable code. This discrepancy underscores the importance of ongoing efforts to improve price transparency, especially as we move toward Price Transparency 2.0, which promises more accurate and comprehensive data. The analysis reveals the discrepancy in published codes depending on the insurer. Aetna offers a 43% discount based on 73% of codes matched (11/15) while AmeriHealth shows a more significant 73% discount but only matches 7% codes (1/15) and has lower network coverage. While the current data provides valuable insights, it's clear that there's room for improvement. As Price Transparency 2.0 rolls out, we can expect to see these gaps narrowed, offering patients and providers alike a clearer and more reliable view of healthcare costs. This progress is vital as we strive toward a healthcare system where price transparency isn't just a goal but a reality. Filters: Trigger Diagnosis: Vaginal Delivery, State: NC, Plan Type: General (All), Plan: All Hospitals. #PriceTransparency ??#HealthcareCosts ?#HealthcareTransparency

Join the AMS (Advanced Medical Strategies) A-Team Peter Borans, Vladimir N. Cadet, Tyler Benware, Ronnie Shul, Jesse C., and Nicolas Andre at the SIIA 2024 National Conference. We are so excited to connect and collaborate with you! Nic Andre will be participating in a panel discussion titled, "Machine Learning, Analytics, and Underwriting - Putting It All Together!" You won't want to miss this! If you would like to schedule a meeting with our team during the conference, please contact Tyler Benware, VP, Stop Loss Solutions | [email protected] or Ronnie Shul, Sr. Business Development Representative | [email protected]. Can't make it to the Conference? Connect with us at [email protected]. #machinelearning #dataanalytics #bigdata #healthinsurance #healthcare #SIIALEAD

We're thrilled to announce that AMS (Advanced Medical Strategies) SVP of Product, Nicolas Andre will be speaking at the SIIA National Conference. ? Nic will be participating in a panel discussion titled "Machine Learning, Analytics, and Underwriting - Putting It All Together!" along with a host of many other seasoned industry experts and though leaders. ? For more information, see the link in the comments. ? We look forward to seeing you there! Please also connect with us at [email protected]. #machinelearning #dataanalytics #bigdata #healthinsurance #healthcare #SIIALEAD

AMS (Advanced Medical Strategies) is hiring! We are seeking an outgoing, customer facing problem solver with a growth mindset who enjoys navigating complex client needs and delivering exceptional results. If you have a proven track record of managing key accounts within a healthcare or a SaaS environment and are ready to join a dynamic/innovative workplace, the Director of Client Relations, Risk Management role with AMS is the perfect opportunity.? Why work for AMS? We offer competitive pay and benefits, a fully remote workplace, and the opportunity to help change the future of healthcare affordability. Interested? Read more and apply on Indeed. https://lnkd.in/etX6FK85 #AMS #hiring #jobopenings #growth #innovation

Join AMS (Advanced Medical Strategies) David Cardelle RPh, John-Michael Loke, Allison Condon, MSN, RN at the 2nd Annual Healthcare Payment & Revenue Integrity Congress?West September 11th and 12th. https://lnkd.in/eTUGFV5h. David Cardelle RPh alongside Helen Liu will be delivering the key-note address and John and Allison have lots to share about Payment Integrity. We look forward to connecting with you at the conference! For more information please reach out to [email protected].

We’re excited to introduce a powerful new feature in PredictDx: integration with PredictPx! Leveraging price transparency data, PredictPx from AMS (Advanced Medical Strategies) reveals actual discounts and prices negotiated between hospitals and payers. This means you get a clear view of medical procedure costs, helping you navigate underwriting and claim negotiations with confidence. This tool also provides detailed insights into health plan discounts and contracted rates, enabling you to identify and validate the most competitive networks in any geography. Now, we’re bringing the power of PredictPx into PredictDx, the industry’s premier clinical and financial reference directory for high-cost diagnoses. This integration will allow our clients to see the actual discounts and contracted rates for procedures by health plan and by geography. We’re committed to empowering your decision-making with the most relevant data. For more information, reach out to us at [email protected]. #PriceTransparency #HealthData #Innovation #HealthInsurance #Healthcare

AMS (Advanced Medical Strategies) is hiring! We are seeking an outgoing, customer facing problem solver with a growth mindset who enjoys navigating complex client needs and delivering exceptional results. If you have a proven track record of managing key accounts within a healthcare or a SaaS environment and are ready to join a dynamic/innovative workplace, the Director of Client Relations, Account Management role with AMS is the perfect opportunity. ? Why work for AMS? We offer competitive pay and benefits, a fully remote workplace, and the opportunity to help change the future of healthcare affordability. ? Interested? Read more and apply on Indeed: https://lnkd.in/g9YEP-vj. ? #AMS #hiring #jobopenings #growth #innovation