Healthcare Analytics Services Announces New Payment Integrity Client and Initiative in Conjunction with Carewise Health

May 06, 2014

Healthcare Analytic Services announced today that Carewise Health has adopted the QEC (Quality, Efficacy, Costs) analytics model as their “front” case identification and stratification tool. QEC provides proprietary algorithms that identify those large hospital and ambulatory cases more appropriate for nurse audits, and more likely to yield results. This tool is highly valuable to both health plans and providers in ensuring accurate and appropriate payment of services.

Cheri Moehring, SVP for Carewise Payment Integrity and Chuck Bloss, Lead Actuary, Healthcare Analytics Services Holdings Inc. (HAS) indicated that QEC would be applied to all new and existing Carewise clients. Ms. Moehring commented “We believe a more predictive analytics tool at the front end of our nurse clinician audit efforts will yield better results for both providers and payers, and ensure that changes to any payments are valid.”

About Healthcare Analytics Services Holdings, Inc.
Healthcare Analytics Services Holdings, Inc. offers large, complex customers high value services and products. They offer four standard commercial analytic models and customized models using our data and behavioral scientist to design a unique analytic framework and model to meet a specific business inquiry. The company evolved from the ground-breaking modeling, mathematical and analytical work developed by a team of actuaries, data and behavioral scientist and key technology vendors.

About Carewise Health, Inc.
Carewise Health offers a series of care management, financial payment integrity, data management, business process management and analytic products and services to health plans, provider health systems, employers and government entities. The combination of technology and key personnel such as nurse clinicians, data and behavioral scientists, actuaries and engineers offer a highly effective partner for customers to achieve their various financial, clinical and operating objectives. Extensive health care and technology domain experience and expertise provides customers with a highly effective solution partner. Visit for more information.

Kevin Scarborough
Chief Administrative Officer
Carewise Health, Inc.