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.
Cardinal Health Specialty Solutions
Cardinal Health Specialty Solutions provides regulatory, clinical, reimbursement, technology and distribution services to help health care professionals, payors and pharmaceutical and biotech companies improve the quality and cost-effectiveness of caring for patients who are managing complex diseases. Cardinal Health Specialty Solutions partners with customers to alleviate day-to-day administrative burdens, optimize business functions and to implement new innovations that move their businesses forward. To learn more, visit www.cardinalhealth.com/specialtysolutions.
Emdeon is a provider of claims, payment, clinical exchange and fraud and abuse management solutions that increase efficiencies through intelligent transaction services. Emdeon helps healthcare payers streamline processes and reduce administrative costs while lowering the overall cost of healthcare.
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.
Inovalon, Inc., is a healthcare technology company that combines advanced data analytics with highly targeted interventions to achieve meaningful impact in clinical outcomes 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®. Proprietary datasets, sophisticated analytics, deep subject matter expertise and nationwide in-community personnel deliver a seamless, end-to-end platform of technology and operations. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance, while also bringing to bear the resources to resolve them. This differentiating combination provides a powerful capability suite, touching more than 540,000 physicians, 220,000 clinical facilities, and more than 120 million Americans, driving high-value impact, improving the quality and economics for health plans, hospitals, physicians, patients, and researchers.
Matrix Medical Network
Matrix Medical Network delivers quality care management solutions to its clients and their members. Matrix deploys a national network of clinical professionals and delivers actionable clinical information to create positive results. Matrix closes gaps in care that improve clinical and financial outcomes while increasing member health and satisfaction.
MedImpact Healthcare Systems, Inc.
MedImpact Healthcare Systems, Inc. is a pharmacy benefit manager that combines subject matter expertise with innovative technology and services to deliver better healthcare outcomes and improve its clients’ position 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: The company avoids conflict of interest by not owning mail order or specialty pharmacies but instead deriving revenue from effectively managing client pharmacy benefits. MedImpact’s results are quantified through detailed peer analysis, demonstrating how the company can help its clients be market leaders rather than followers.
With MedImpact, you’re gaining a team of experts who, in 2012, helped four clients achieve CMS 5-star ratings. In the 2012-2013 NCQA rankings, MedImpact supported six of the Top 10 private/commercial, seven 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 64 million covered lives. With more than 25 years of payments expertise, PaySpan is a source of innovative healthcare reimbursement solutions, Empowering the Healthcare EconomyTM 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 reducing administrative
costs, improving member and provider satisfaction, as well as addressing
regulatory compliance challenges in all managed care administrative processes.
Softheon's Marketplace Connector Cloud (MC2) has been used by over 35 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. To find out more about the Softheon, visit www.softheon.com.
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.