AHIP Select Members
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 more than 305,000 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$30.0 billion for the fiscal year ended Aug. 31, 2014.
Dell is an end-to-end service provider of IT and business solutions for health plans. Dell's solutions include analytics & business intelligence, spplication services, business process outsourcing, billing & enrollment, care management/telehealth, consulting, customer relationship management; data security & compliance; fraud, waste & abuse; private marketplace; secure healthcare cloud; social media; staff augmentation; and utilization management.
Dell's business model emphasizes listening to and engaging with its customers. Dell is equipped to partner with health plans, enabling payers to address their strategic vision of being a member-centric organization while remaining competitive in the evolving consumer-driven market. Dell’s current client base includes health plans in approximately 100 health insurance organizations and processing more than 96 million claims annually. Dell handles more than 1.3 million enrollment transactions annually, and manages call centers that handle more than 11 million calls a year.
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.
With more than 25 years of payments expertise, PaySpan® is a trusted source of innovative healthcare reimbursement solutions that are Empowering the Healthcare Economy® for health plans, providers, members and banks. PaySpan’s solutions enable stakeholders to interact across communities, conduct commerce, capture value, instill trust and use reimbursement currency strategically. PaySpan’s customers comprise an elite array of industry leading payers, providers and solution partners spanning the healthcare reimbursement spectrum. Its Patient Centered Financial Home™ framework helps payers engage consumers in managing the financial responsibility of their healthcare benefits, creating an environment of improved patient value and engaged consumer financial responsibility.
RxAdvance is a national full-service pharmacy benefit manager (PBM) leveraging Collaborative PBM Cloud™ to manage standard and specialty drug benefits with system-driven regulatory compliance and 100% transparency. In addition, RxAdvance offers a global pharmacy risk partnership model standing shoulder-to-shoulder with plan sponsors.
RxAdvance service offerings include, Pharmacy Benefit Plan Design And Modeling Services, Pharmacy Claims Processing Services, Formulary Management And Modeling Services, Enterprise Services, Pharmacy Network , Contracting Services, Analytical and Reporting Services, Rebate Modeling and Management Services, Medication Therapy Management (MTM) Services, Coverage Gap, Prediction & Prescription Planning (CGP³) Services, Medication Adherence Management (MAM) Services, Specialty Management Services, Care Stakeholder Services, Adverse Drug Event Management Services, Compliance Management Services, Global Pharmacy Risk Management.
RxAdvance delivers integrated PBM services that reduce overall pharmacy costs and avoidable drug-impacted medical costs while improving patient’s quality of life.
Welltok, Inc. is fundamentally transforming the way population health managers partner with consumers to optimize their health and get rewarded. Its groundbreaking CaféWell Health Optimization Platform™ organizes the growing spectrum of health and condition management programs, communities, apps and tracking devices. The platform, accessible via web and mobile, drives engagement by providing personalized guidance and leveraging social, gaming and cognitive technologies. Welltok’s novel approach increases revenue, improves operational efficiency and drives healthcare value.
For overall information about the Select program, contact AHIP’s Business Development Team at BusinessDevelopment@ahip.org or 866.707.AHIP (2447).