Accenture: Insight Driven Health
Insight driven health is the foundation of more effective, efficient and affordable healthcare. That’s why the world’s health care providers and health plans choose Accenture for a wide range of insight driven health services that help them use knowledge in new ways—from the back office to the doctor’s office. Accenture’s committed professionals combine real-world experience, business and clinical insights and innovative technologies to deliver the power of insight driven health.
Accenture is a global management consulting, technology services and outsourcing company, with approximately 259,000 people serving clients in more than 120 countries. Combining experience, comprehensive capabilities across all industries and business functions, and extensive research on the world’s most successful companies, Accenture collaborates with clients to help them become high-performance businesses and governments. The company generated net revenues of US$27.9 billion for the fiscal year ended Aug. 31, 2012.
hCentive provides cloud-based technology that helps consumers connect, communicate and engage in acquiring health insurance. Its WebInsure solutions allow health plans, states and federal agencies to establish compliant exchanges for member acquisition, management and distribution of health insurance plans.
With a commitment to customer success and execution excellence, hCentive offers a single point of accountability that organizations demand.
HealthEdge® provides an integrated financial, administrative and clinical software platform for healthcare payors. The HealthRules® platform, built on modern, patented technology, delivers a suite of software products that enables payers to leverage new business models, improve outcomes, drastically reduce administrative costs and connect everyone in the healthcare delivery cycle. An award-winning company, HealthEdge delivers technology that makes the new healthcare economy work.
ikaSystems delivers business automation and process solutions that transform how health plans conduct commercial, Medicare, Medicaid, Health Insurance Exchange, and ACO business. ikaSystems’ solutions automate key processes for sales, marketing, regulatory compliance, claims administration, customer service, quality management, and revenue optimization—all on an integrated, Web-based platform to lower costs, increase agility, and improve constituent satisfaction for all your lines of business.
Inovalon is a healthcare technology company that combines advanced data analytics with highly targeted interventions to achieve meaningful impact in clinical and quality outcomes, utilization and financial performance across the healthcare landscape. Inovalon’s unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action®. Large proprietary datasets, advanced integration technologies, sophisticated predictive analytics, deep subject matter expertise and nationwide in-community personnel deliver a seamless, end-to-end platform of technology and operations that bring the benefits of big data and large scale analytics to the point of care. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance – while also bringing to bear the unique capabilities to resolve them. Touching more than 540,000 physicians, 220,000 clinical facilities, and more than 140 million Americans, this differentiating combination provides a powerful solution suite that drives high-value impact, improving quality and economics for health plans, ACOs, hospitals, physicians, patients, and researchers. Please visit www.inovalon.com for more information.
McKesson Health Solutions
McKesson Health Solutions delivers clinical evidence and expert technology to help payers and providers collaborate for better healthcare outcomes at lower costs. Its solutions reduce unnecessary healthcare utilization while improving outcomes; operationalize complex volume- and value-based payment models; and optimize billing communication between providers, patients and payers. Its solutions are in more than four out of five payers in the country; more than 3,900 hospitals and facilities use our InterQual evidence-based decision support criteria; and its RelayHealth financial solutions are used to automate 1.9 billion financial transactions each year.
MedImpact Healthcare Systems, Inc.
MedImpact Healthcare Systems, Inc, founded in 1989 and headquartered in San Diego, CA, is a pharmacy benefit management (PBM) company that combines subject matter expertise with innovative technology and services to deliver better healthcare outcomes and improve its clients’ positions in the market. MedImpact provides PBM services to 47 million members of health plans, hospitals and employers in the U.S. and abroad. MedImpact’s model is unique: avoiding conflict of interest by deriving revenue from effectively managing client pharmacy benefits rather than dispensing drugs.
MedImpact’s results are quantified through detailed peer analysis, demonstrating how the company can help its clients be market leaders.
MedImpact clients ranked higher than the national plan average in the 2014 Centers for Medicare & Medicaid Services (CMS) Star Ratings. In the 2013-2014 National Committee for Quality Assurance (NCQA) rankings, MedImpact supported seven of the Top 10 private/commercial, one of the Top 10 Medicare and two of the Top 10 Medicaid health insurance plans.
Optum is a diversified health services company dedicated to making the health care system work better for everyone. Optum businesses include services and products for clinical management, operations and administrative efficiencies, sales and marketing programs and financial services offering health savings accounts, financing, electronic payments and stop loss insurance.
PaySpan®, Inc. provides healthcare payment and reimbursement automation services to providers and health plans that provide care and benefits to more than 94 million covered lives. With more than 25 years of payments expertise, PaySpan is a source of innovative healthcare reimbursement solutions, Empowering the Healthcare Economy® for health plans, providers, members and banks. PaySpan’s customers comprise an array of industry leaders representing all benefit types, spanning both commercial and government sectors.
Empowering the nation's first state health benefit exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies’ goal of meeting Affordable Care Act (ACA) milestones. Softheon provides solutions for interacting with Federal and State Health Insurance Exchange (HIX) Marketplaces, while aiming to measurably reduce administrative costs, improve member and provider satisfaction, as well as address regulatory compliance challenges in all managed care administrative processes.
Softheon's Marketplace Connector Cloud (MC2) has been trusted by over 40 health plans as an accelerated federal, state, and private exchange integration platform. Softheon MC2 is a Software-as-a-Service (SaaS) solution where insurers pay a one-time activation and ongoing PMPM fees for exchange members only, while eliminating risks associated with ACA compliance of 2014 enrollment and other mandates.
Truven Health Analytics works with health plans to uncover key insights to improve member health and manage costs. Truven Health Analytics integrates your disparate data sources with its benchmarks and apply clinical and analytic methods—giving you the information you need to attain differentiation and achieve corporate growth.
Verisk Health, Inc.
Verisk Health drives performance excellence in the business of healthcare. By combining clinical and analytics expertise with robust technology and services, we empower customers to fully leverage their data to achieve long-term measurable results. Our data-driven risk assessment technologies and business decision analytics enable clients to proactively seize opportunities for improving clinical, financial and performance results including care management; risk identification and stratification; HEDIS compliance; benefit program measurement; fraud, waste, and abuse prevention; payment accuracy; and revenue cycle management.