About Us | Edifecs in the News

Bellevue, Wash. — June 28, 2012 — Today, Edifecs, Inc., released the following statement on the Supreme Court’s health care reform decision: 

The Supreme Court’s decision removes some uncertainty within the industry about the future of health reform.  However it is worth noting that many of the significant reform initiatives under way in healthcare today, particularly those that are IT-driven, were borne not out of healthcare reform, but of prior laws that were not tied to the legal challenge. These include the transition to a more granular set of diagnostic codes, and meeting so-called meaningful use standards for the use of electronic health records. Our customers are conducting planning and testing to meet important compliance deadlines under those laws and we see no reason for them to change course. 

One noteworthy provision of health reform legislation, mandating the standardization of administrative interactions between health plans and providers to cut costs (also known as Operating Rules), has already been voluntarily adopted by hundreds of health plans and hospitals and will live on regardless of what happens in Washington. The savings from this initiative – estimated to be $3 billion over three years – and the proven decrease in claims denials are just too significant to ignore. We encourage the entire industry to get on board.

We have long suggested that one of the key objectives of health reform – containing costs through the elimination of waste, fraud, and abuse – is achievable with or without the health reform law. If the same administrative simplification principles that make the manufacturing and retailing industry so efficient were applied to the U.S. healthcare industry, it would remove $1 trillion in administrative costs over 10 years.  This can be achieved without reducing payments to physicians, and without impacting the quality or services available to patients.

About Edifecs, Inc.

An industry leader since 1996, Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information among health plans, hospitals, and other healthcare organizations, while enabling compliance with current mandates such as HIPAA 5010 and ICD-10.

Today, more than 250 healthcare customers use Edifecs technology to unify transactions from any information channel source and input mechanism, while automating manual business processes such as enrollment, claims and payments management.

Edifecs is currently recognized as one of the 100 Fastest Growing Private Companies in the state of Washington, 100 Best Places to Work in the state of Washington, an Inc. 5000 fastest-growing private company and one of the 500 Fastest Growing Companies in North America by Deloitte. Edifecs is headquartered in Bellevue, WA. For more information, please visit http://www.edifecs.com.