Select Your Solution

Solutions Delivered: 

Healthways
www.healthways.com 

Healthways is a global provider of science-based solutions that improve well-being, enhance business and human performance and reduce overall healthcare costs. Our solutions are designed to help healthy individuals stay healthy, mitigate and slow the progression to disease associated with family or lifestyle risk factors and promote the best possible health for those already affected by disease. We provide highly specific and personalized interventions to millions of people domestically and internationally, surrounding them with tailored support when they are at home, at work, seeking medical care or pursuing health improvement.

LexisNexis
www.lexisnexis.com 

LexisNexis solutions for health care leverage decades of experience in using the power of big data to drive cost savings across the healthcare continuum. LexisNexis ability to disambiguate, link, enhance and analyze data delivers information-rich analytic tools that help health plans understand risk in their business, supplying actionable intelligence to improve fraud, waste and abuse detection as well member engagement in key cost saving programs.

Matrix Medical Network
www.matrixhealth.net 

Matrix 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’s success comes from hiring, training and retaining skilled and experienced clinicians and supporting them with a powerful and highly secure technology infrastructure.

MedAssurant, Inc.
www.medassurant.com 

MedAssurant, Inc. focuses on the importance of healthcare data and its ability to drive dramatic, objective improvements in clinical and quality outcomes, care management, and financial efficiencies throughout the healthcare community. Proprietary healthcare datasets, abstraction, and analysis capabilities, combined with a national infrastructure of leading-edge technology, clinical prowess, and expert human resources empowers MedAssurant’s new generation of data-informed solutions.

Driven by a mission to improve today’s healthcare landscape, the employees of MedAssurant apply care, ingenuity and dedication to delivering a new approach to healthcare touching more than 110 million Americans in 99.9% of US counties– one driven by data and insight – one resulting in action. More information can be found at www.medassurant.com.

MedeAnalytics
www.medeanalytics.com 

MedeAnalytics delivers performance management solutions across the healthcare system—including hospitals, physician practices, and payers—to ensure accountability and improve financial, operational, and clinical outcomes.

OpenConnect
www.oc.com 

OpenConnect offers process intelligence, workforce analytics, and process automation solutions designed to create high value improvements for Healthcare Insurance payers. We help organizations understand what the real work and productivity of their resources are, how to eliminate work, improve processes, and automate much of the work that remains so the firm’s resources can focus on improving customer service and higher value add activities.

Optum
www.optum.com 

Optum is a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Optum comprises three companies – OptumHealth, OptumInsight and OptumRx – representing over 30,000 employees worldwide who collaborate to deliver integrated, intelligent solutions that work to modernize the health system, improve overall population health and build Sustainable Health Communities.

PaySpan
www.payformance.com 

Payformance is pleased to provide PaySpan Health to help payers and providers settle healthcare claims electronically.

Payformance is the industry’s most innovative provider of Electronic Funds Transfer and Electronic Remittance Advice solutions. Its flagship product, PaySpan Health, builds on the company’s more than 23 years of experience in developing payment solutions. By automating the last phase of the healthcare claims process – payment and remittance – PaySpan Health optimizes funds transfer and remittance delivery and brings the promise of HIPAA administrative simplification to reality.

Softheon
www.softheon.com 

Softheon enables health plans to measurably reduce administrative costs, improve member and provider satisfaction, generate new revenue opportunities, and address regulatory compliance challenges in new business, underwriting and enrollment, pharmacy and medical prior authorization, claims, grievance and appeals, member and provider services, and other critical administrative processes.

Walgreens
www.walgreens.com 

Walgreens is the nation's largest drugstore chain with fiscal 2010 sales of $67 billion. The company operates 7,697 drugstores in all 50 states, the District of Columbia and Puerto Rico. Each day, Walgreens provides nearly 6 million customers the most convenient, multichannel access to consumer goods and services and trusted, cost-effective pharmacy, health and wellness services and advice in communities across America. Walgreens scope of pharmacy services includes retail, specialty, infusion, medical facility and mail service, along with respiratory services. These services improve health outcomes and lower costs for payers including employers, managed care organizations, health systems, pharmacy benefit managers and the public sector. Take Care Health Systems is a Walgreens subsidiary that is the largest and most comprehensive manager of worksite health centers and in-store convenient care clinics, with more than 700 locations throughout the country.