Resources

Health plans and ACOs alike have struggled with bringing program automation, stakeholder visibility and scalability to their VBR programs. To resolve these challenges health plans must evolve their programs from legacy, spreadsheet-based administration backed by stagnant data and outdated analytics. View this recording and learn how to bring your VBR programs out of the dark.

The foundation of any encounter management system comes down to ACT Accuracy, Completeness and Timeliness. Health plans, if your encounter management lifecycle (technology and processes) does not deliver on these three aspects, then it is operating inefficiently. And for those plans involved in more than one managed care line of business, the level of inefficiency becomes multiplied.

How ready is your organization to manage Marketplace 2.0 changes, maintain Marketplace revenue integrity and increase your market footprint? If there is any doubt, then you should view this webinar titled “Creating Your Marketplace 2.0 Success Blueprint.”

User Quick Start Guide For the Edifecs Phase IV CAQH CORE Voluntary Certification Testing System

Risk and Reward at the Edge of the Enterprise

Reduce Risk and Costs with Partner-Centric Testing:With the rapidly increasing shift from volume-based healthcare to value-based reimbursement and care delivery models, health plans are deploying new programs and requesting more data from providers

In a typical health plan’s IT production environment, multiple servers and services process millions of data files that continuously move into and out of the enterprise.

The health plan's existing infrastructure configuration wasn’t flexible enough to handle new business and to adjust to the changing healthcare industry.

Health systems around the nation are pursuing accountability by forming partnerships with private payers to evolve from fee-for-service payment models to new value-driven models.

User Quick Start Guide for the Edifecs CORE Certification Phase III Testing System

User Quick Start Guide for the Edifecs CORE Certification Phase II Testing System