With the pace that healthcare industry is expanding, payers need to develop strategies to decelerate rising medical costs, maximize return on IT investment, simplify administrative practices, transition from ICD-9 to ICD-10, and focus on product innovation. This calls for a partner who can understand and focus on the individual consumer more than ever before.
emids is that partner. With our focused portfolio of services for payers, we help insurers manage reform volatility and leverage the opportunities that it presents.
emids services and solutions for health plans span across indemnity (fee for service), managed care (HMO, POS, PPO, and EPO), government-sponsored (Medicare and Medicaid), consumer-driven (FSA, HSS, HRA) and BlueCross & BlueShield.
- Business Systems and Operations – emids business systems and offerings are meant to enhance operational efficiencies while streamlining processes. Often a matter of concern is the gap in business or IT systems. emids helps in bridging these gaps with reduced costs. emids solutions also enable payers to cope with compliance and regulatory changes like HIPAA 5010 and the ICD-10 Transition.
- Payer-Provider Integration – emids integration services brings payers and providers together by aligning their systems and processes. emids helps payers in improving quality measure scores as well as increasing member/patient satisfaction.
- Business Intelligence and Data Management - emids healthcare-centric Business Intelligence and Information Management services enable alignment of key activities like Data Governance and Report Rationalization in payer organizations. emids helps establish a focus on key metrics within each Payer function. emids help payers manage their data warehouses from cradle to grave. We provide production support for enterprise reporting and ETL along with improving data quality processes and reducing operating costs.