New release of Prometheus APPRAISE helps health funds identify and tackle provider fraud, waste and claims abuse more easily than ever

Houston We Have Prometheus Houston We Have continues to invest in Prometheus – its health analytics practice. The company recently released an enhanced version of Prometheus APPRAISE. Current clients will know this as a clever tool that helps flag patterns in provider expenses that might be indicative of fraud or other behaviours warranting closer attention. […]

Can Augmented Intelligence improve Health Fund loyalty and profitability?

Houston We Have better health fund member profitability It is estimated that at about 10% of members of Australia’s private health (insurance) funds switch to another provider each year, placing more than $2 billion of annual income at risk.  Health funds know that it costs 2-3 times more to acquire a new customer than retaining […]