COTS based modular solutions to maximize data quality and drive payment reform initiatives
Edifecs provides modular software solutions for government agencies that enables interoperability with compliant and correlated administrative and clinical information to reduce complexity and inaccuracies. Our solutions include industry leading data validation/compliance processing and solutions built to support vital state Medicaid processes for Value Based Payment Reform and Encounter Data Accuracy Management.
COTS-based approach reduces time to market, administrative and infrastructure costs.
Operationalize and scale payment reform initiatives.
Improving Encounter Data Quality for State Medicaid Agencies.
Edifecs improves data quality, reduces administrative costs and increases value based purchasing adoption for Medicaid Agencies. Our modular, purpose built platform helps consolidate and correlate disparate data sources, drive continuous data quality improvements and automate payment reform programs while ensuring ongoing compliance.
We provide CMS, VA and other agencies the scalability and security around projects that require multi-organization transactions across the healthcare continuum and reduce IT and operational costs while adhering to mandates and continuous improvement/data quality goals.
In this new modular world, we work closely with our partner community to help them reduce their time to market and increase the value of their solutions. We accomplish this by providing out of the box and continually updated healthcare constructs that enable state and federal agencies to address the most pressing administrative and payment reform goals.
We provide State Based Exchanges a flexible, streamlined, and purpose-built enrollment management solution, critical to ensuring both near-term and long-term Marketplace success.