Strategic Challenges and Uncertainty in Healthcare
As a health plan executive, you are confronted with a myriad of challenges and limited resources to effectively react to and plan for changes in your market. Increasing use of clinical data and analytics in patient care, ongoing changes in reimbursement models, and growing pressure on health plans to continue to demonstrate value are forcing plans to reconsider how resources are allocated. Focusing resources on 40 year old EDI technology makes less and less sense, given all the competitive realities in the healthcare marketplace.
Health Plan EDI Outsourcing Report
Today, Health Plan providers have no shortage of challenges when it comes to strategic prioritization, resource allocation, and an increasingly competitive environment. Commercial, Blue Cross Blue Shield, and Medicare and Medicaid organizations are confronted with increased commoditization and the need to migrate their more traditional expertise toward patient-centric, inter-operable services...
EDI Partners Teams with Noridian Healthcare Solutions to offer EDI Outsourcing Services for Healthcare Payers
Supporting a more cost effective electronic data interchange (EDI) model for healthcare payers, EDI Partners has teamed with Noridian Healthcare Solutions (Noridian) for EDI outsourcing services. The services supported by the partnership include data collection and communication between the healthcare provider and payer in support of all business functions including eligibility verification, claims collection, claims status, claims remittance, and clinical information exchange.