Weiser To Lead Compliance Division At BlueCross

Wednesday, February 06, 2013

Health plans across the country are experiencing vast changes under the Affordable Care Act, alongside the evolving challenges presented by advances in technology. To navigate these changes, BlueCross BlueShield of Tennessee has recruited Pat Weiser as vice president and chief compliance officer.

“Health plans must continually review and revamp their compliance programs to be successful in today’s changing health care and regulatory landscape,” said JD Hickey, COO and senior vice president at BlueCross.

“Pat is at the forefront of the industry and is well versed in the specialized rules and regulation surrounding health care. We know that under her leadership we will continue to develop strong programs that are good for our members and our company.”

Ms. Weiser previously served as chief compliance officer for Martin’s Point Health Care in Portland, Maine. While there, she led a complete revamp of that non-profit’s corporate and product compliance programs. Emphasizing transparency, she helped make the company’s compliance plan easier to understand and a regular part of employees’ every day work lives.

Prior to Martin’s Point, Weiser led Medicare product management and compliance teams at EmblemHealth in New York City for eight years. In that time she became an expert in Medicare Advantage, Dual Eligible programs, Part D programs, and Medicaid and Medicare supplement programs. 

Ms. Weiser received a Bachelor of Science in psychology from State University at Albany (New York), and continuing her graduate work in Albany, earned a nursing degree from Maria College and a Masters in Health Services Administration from Sage Graduate School.

Ms. Weiser published “How to Construct a 5-Star Medicare Compliance Program,” in HCCA Compliance Today.


Health Department Issues Poliio Vaccination Guidance

The Tennessee Department of Health, in alignment with the Centers for Disease Control and Prevention, is issuing polio vaccination guidance for individuals planning travel to and from 10 countries where wild poliovirus, or WPV, is currently known to be a threat. Those countries include:  Afghanistan, Nigeria, Pakistan, Cameroon, Ethiopia, Equatorial Guinea, Iraq, Israel, Somalia ... (click for more)

Beacon Health Alliance Opens Pediatric Night Clinic On Goodwin Road

Beacon Health Alliance has opened a Pediatric Night Clinic at 7550 Goodwin Road. It is staffed by pediatric providers with no urgent care co-pay. Walk-ins are welcome and most insurance is accepted. Hours are Monday-Saturday 5-11 p.m. and Sunday noon-8 p.m. Call 423-894-3252 .  (click for more)

Erlanger Health System Projecting $10.8 Million Profit - With Help From $19 Million In Federal Funds

Erlanger Health System is projecting a $10.8 million profit for the upcoming fiscal year - with the help of $19 million in federal funds from a pool for public hospitals. The $19 million received in time for the current budget helped avoid a sizable deficit. The hospital is hoping the federal funds will be coming on an annual basis. At the start of the last fiscal year, ... (click for more)

History Center Gets $400,000 Grant From National Endowment For The Humanities

The National Endowment for the Humanities has awarded grants totaling more than $800,000 to three Tennessee projects that aim to display and preserve historical materials. Winning grants Monday included the Chattanooga History Center, which will get $400,000 to install a permanent, multimedia exhibit on the history of Chattanooga. The University of Tennessee-Knoxville will ... (click for more)

I'm Number One In A Round About Way

Roundabouts have been popping up all over Chattanooga over the past few years and for the most part have been successful.  Unfortunately there are some who just don’t get it as I have found out the hard way.    My latest instance was last week when a young woman on her cell phone almost t-boned me as she flew into the roundabout without yielding.  A near miss ... (click for more)

Roy Exum: Judge Philyaw Is The Best

Tomorrow morning there will be a special gathering at the Hamilton County Juvenile Court that will prove to our community that we have perhaps the most innovative juvenile judge in America. Shortly after Rob Philyaw was hand-picked by our Hamilton County Commissioners to fill the remainder of Suzanne Bailey’s term 15 months ago, he found that truancy was a big problem in our schools. ... (click for more)