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.
About 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.
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.
Medical Network works on the behalf of health plans and medical groups
throughout the country providing comprehensive medical assessments of their
members. From these assessments comes information that enables plans and
providers to fully address and better manage an individual’s medical needs.
Assessments are conducted by Matrix-employed nurse practitioners and physicians
who visit members in their homes or in nursing/skilled nursing facilities.
Visits often uncover additional needs and have resulted in saved lives. The
company hires, trains and retains skilled and experienced clinicians and supports
them with a powerful and highly secure technology infrastructure.
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 is a provider of healthcare payment and reimbursement automation. They focus on health plans, providers, members and banks throughout the healthcare economy. PaySpan’s solutions enable stakeholders to interact across communities, conduct commerce, capture value, instill trust and use reimbursement currency.
PaySpan serves more than 100 health plans covering more than 50 million members and connect them with over 315,000+ provider payees in all 50 states, U.S. territories and several international markets.
PaySpan brings innovation and efficiency to healthcare reimbursement, and continues to expand their solution with technology and services that allow payers and providers to succeed in the new healthcare economy.
Empowering the nation's only fully operational state health exchange since 2008, Softheon's vision and strategic direction address healthcare payer, provider, and government agencies’ goal of meeting PPACA milestones. Softheon provides solutions for interacting with Health Insurance Exchanges (HIX), while measurably reducing administrative costs, improving member and provider satisfaction, as well as addressing regulatory compliance challenges in all managed care administrative processes.
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.