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.


Speaker Harwell Appoints Rep. Kevin Brooks To Task Force On Opioid Abuse

Speaker Beth Harwell created a task force on opioid and prescription drug abuse, and appointed Representative Kevin Brooks to serve on the panel. The task force’s immediate goal will be to work on legislation, but its efforts will be ongoing to determine the best strategies for tackling the opioid epidemic, officials said. Tennessee is consistently ranked at the top of the charts ... (click for more)

Widespread Flue Impacting Local Blood Supply

Non-profit regional blood center Blood Assurance is calling on healthy community members to make a blood donation at a local donor center or bloodmobile as soon as possible to help replenish the blood supply needed by area hospitals. The local blood supply is critically low due to high hospital usage and widespread flu affecting donors across the region. “To have a four to five ... (click for more)

Commissioner Boyd Asks County Auditor To Get Detailed Data On Visitors Bureau Spending; Graham Says CVB Should Be Left Alone

County Commission Finance Committee Chairman Tim Boyd said he is asking County Auditor Jenneth Randall to supply him with details about spending at the Chattanooga Visitors Bureau, including actual credit card and travel expense statements. He said he also wanted copies of contracts for office renovations made to the SunTrust Building 18th floor where the CVB has offices and all ... (click for more)

Developer Agrees To Set Aside 5 "Affordable" Units At Bread Factory Lofts After City Board Is Vote Short Of Approving Refinancing

A South Carolina developer who is purchasing the Bread Factory Lofts on the Southside agreed to set aside five units for "affordable housing" in order to get the approval of a city board for the financing of the purchase. Only four members of the Health, Education and Housing Facility Board were present, and Lloyd Longnion said he would not give approval unless the developer ... (click for more)

Getting The Message

Our school age youth have inspired me with their responses during “Q and A” sessions after my readings as a volunteer during African American History Celebrations and Read across America Celebration, too.  Before this school year, I read to classes at Orchard Knob Elementary School and at Rivermont Elementary School, here in Hamilton County.   Their answers to factual ... (click for more)

Roy Exum: Ed Chief ‘Embarrassed’

At the start of the school year in September, Tennessee’s Commissioner of Education Dr. Candice McQueen held an “educational summit” with state legislators from embattled Hamilton County. The entire “summit” took a prescribed 90 minutes and was such a dog-and-pony show her strongest statement was, "Create your plan around the right vision, have some metrics and align to the right ... (click for more)