We can help. As a trusted global innovator, we assist health plans in harnessing next-generation intelligence and advanced analytics through our Medical Cost Manager (MCM). We combine advanced data management with Fast Healthcare Interoperability Resources (FHIR) integration for real-time data collection to bring a unified, holistic view of high data value points from claims and membership information. This approach provides a complete view with more transparency and insights to detect and prevent overpayments to improve cost avoidance. See what MCM can do for you.
Comprehensive platform with agility adapts and integrates with systems to respond to changing regulations
Advanced analytics and machine learning identify gaps and fix the root cause for better cost avoidance
360-degree member/claim view with capabilities customises and integrates with diverse data sources
Automation and command centre with workflow reduce administrative costs and vendor spend for streamlined operations
Should you shift to an AI-powered payment integrity (PI) model? Our webinar explores the change in focus from payment platforms to a systemic use of automation to simplify the PI function. Experts from IPsoft and NTT DATA explain how you can leverage a self-driving PI programme to improve provider satisfaction, reduce regulatory risk and achieve cost savings.ACCESS THE WEBINAR