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.


Parkridge Health System Dropping Inpatient Medical Care And Surgical Services At Parkridge West At Jasper, Tn.

Parkridge Health System will discontinue providing inpatient medical care and surgical services at Parkridge West at Jasper, Tn., effective April 6.  Parkridge West will continue to offer 24-hour emergency services, outpatient imaging and laboratory services, and Mountainview Treatment Center will continue to serve inpatient adult behavioral health patients.  Officials ... (click for more)

Aledade Partners With Qsource To Create Primary Care Physician-Led ACO In Tennessee

Maryland-based Aledade, Inc. has announced a partnership with Qsource to help independent primary care physicians in Tennessee form and operate an Accountable Care Organization. Aledade partners with independent doctors to create and run ACOs, networks of physicians who band together to deliver coordinated care to patients.  They operate under a payment structure that rewards ... (click for more)

Family Escapes Sunday Morning Blaze

A Chattanooga family was getting ready for church Sunday morning when they heard a loud pop on the back side of the house. The pop they heard was apparently a window busting from intense flames on the outside of the house. Larry Erskine, his wife Nicole, and their two-year-old daughter got out of the house without injuries and called 911.  The Chattanooga Fire Department ... (click for more)

Firefighters Respond To 2 Kitchen Fires

Chattanooga firefighters responded to two kitchen fires within the past 24 hours. The first one occurred Saturday morning at 3116 15th Ave.  Captain Joey Smith with Engine 5 said the firefighters were able to contain the fire to the kitchen area. The lone occupant got out of the house safely. The dollar loss was estimated at $15,000. The cause of the fire was ruled accidental, ... (click for more)

Finley Stadium Needs To Grow Up - And Response

RE:  Finley Stadium Financial Picture Rosy; Beer And Alcohol Sales Approved; AstroTurf Almost Ready and City, County Pitching In $250,000 Each For New Finley Stadium AstroTurf I read a story here five days ago about a rosy future for Finley stadium. It lead me to believe that the stadium was making money and even improvements with donations.  Then we get a short ... (click for more)

Roy Exum: The Sunday Funnies

They say March roars in like a lion and leaves like a lamb. So as you reach for your lambs-wool sweater on this last Sunday of the month, allow me to lighten up a bit with a new edition of my Sunday Funnies. I have a delightful crowd that keeps me supplied in jokes and these are some of the best that have come my way: A WOMAN'S PERFECT BREAKFAST -- She's sitting at the table ... (click for more)