Weiser To Lead Compliance Division At BlueCross

Wednesday, February 6, 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.


Blood Assurance Makes Schedule Changes Due To Threat Of Inclement Weather

The threat of inclement weather across our region has led Blood Assurance to make changes to its schedule for this  Thursday . Blood Assurance donor centers and bloodmobiles are adjusting their hours of operation so team members and donors can arrive safely. The donor centers in Hixson, Johnson City, Cleveland, Downtown Chattanooga, East Brainerd, Dalton, Fort Oglethorpe, ... (click for more)

Fred's Super Dollar Stores Raise Money For Children's Miracle Network Hospitals

Fred’s Super Dollar stores have kicked off their 10th year raising funds Children’s Miracle Network Hospitals. Fred’s customers and team members are once again supporting patients treated at Children’s Hospital at Erlanger during the Children’s Miracle Network Hospitals Miracle Balloon fundraiser.   Funds raised now through  April 5  will provide medical ... (click for more)

Snow In Today's Forecast After Balmy Wednesday; Hamilton County Schools, CCS, State Offices Closed Thursday

Temperatures were mild on Wednesday, reaching 74 degrees, but they began dropping as the day went on - leading to a winter weather advisory. The advisory went into effect at 4 a.m. on Thursday and is to continue until 4 p.m. The forecast is for freezing rain,sleet and snow. Hamilton County Schools will be closed Thursday . Officials said, "Due to the continued drop in temperatures ... (click for more)

Grand Jury Indicts Mark Kaylor In Alleged Beating Case; He Resigns From Red Bank Police; His Attorney Asks For Trial

A Red Bank officer was indicted on Wednesday by the Hamilton County Grand Jury on charges related to an alleged assault against a detainee. At the same time, Red Bank Police Chief Tim Christol said he had accepted the resignation of Officer Mark Kaylor. The Hamilton County District Attorney General’s Office earlier said it had reviewed the Tennessee Bureau of Investigation ... (click for more)

Women Don't Ask For Rape, They Ask For Justice

The stereotypical irrationality that women typically lie about rape has brought an enormous amount of social stigma to this population. Many like to think that rape is not a huge issue in the United States, and that the media blows it out of proportion. The Federal Bureau of Investigation (FBI) reported that approximately 17.7 million females in America have been raped, with 108,612 ... (click for more)

Roy Exum: Father Kelly’s ‘Hallelujah’

Last April, in the special way that only some older men are lucky enough to possess, the childish imp came out in Father Ray Kelly. A parish priest in Oldcastle, Ireland, he was conducting wedding vows for a handsome couple when the 62-year-old decided to surprise them with a totally-unscripted rendition of Leonard Cohen’s beautiful song, “Hallelujah.” When he did, there soon ... (click for more)