Health Plans
InfoSTEP unites dynamic intellectuals to transform and improve the Payer Industry through information and technology. Our Solutions for Health Plans improve the delivery and operations of the business, increase the quality of care by systematically identifying and eliminating duplication, waste, and inefficiency in critical functional areas.
By providing decision support and links between analytic, InfoSTEP helps you arrive at key decision making, relevant answers, deeper insight, more effective cost control initiatives and robust reporting abilities. Improved and automated Health plan Systems can eliminate the burden and cost of re-engineering existing systems to comply with new regulations and reap the benefits of advanced web-based technology and rich managed care functionality.
InfoSTEP’s Software Solutions for Health Plans are broadly classified into:
1. Health Plan Operational Information Solutions
Powerful, emergent market forces are spurring many U.S. health plan organizations to make deep investments in a rapidly evolving approach to help them compete more effectively. That approach – Informatics- is the systematic leverage of health information assets to help plans better understand business risks, evaluate plan performance, and identify new offerings
But buyer beware – while informatics delivers a clear and compelling business case for investment, executing a cost-effective informatics is not a plug-and-play proposition.
That’s where InfoSTEP’s health plan informatics practice helps our payer customers make the transformation from a traditional claims-processing insurer to a health and wellness organization focused on its members.
Our solutions can help simplify your health claims administration to make your health plan more efficient, flexible, and responsive to the needs of members and business- partners. Our key service offerings for the healthcare payer organizations are:
- Business Process and Integration Solutions
- Claims processing systems support
- Bring clarity to technology choices to improve decision making.
- HIPAA-compliant care-management solutions
- Remote maintenance and enhancement of legacy claims processing applications
- Data warehousing and report-writing
2. Performance Scorecards and Reports
Performance Score Cards
Performance Scorecards allow health plan executives to track their organization’s vital statistics in one place, with one glance. By linking financial, operational, clinical and enrollment data, InfoSTEP enables executives to easily view multiple indicators of performance. They can track enrolments, claims, memberships and other key metrics against established goals. Clients can easily drill down into underlying data to understand the root causes of problems and issues. InfoSTEP’s Performance Scorecards consolidate multiple management reports into a single picture of performance, providing insight into trends and highlighting areas for special focus.
Performance Scorecards are delivered on a web analytics platform and supported on a daily basis by experienced client service teams to ensure rapid and sustainable results.
How do health plans use Performance Scorecards?
- Deploy resources immediately and effectively, where they're needed most.
- Quickly spot performance issues. Identify areas at risk for falling outside their target range.
- Bring clarity to technology choices to improve decision making.
- Empower managers with the data they need to monitor and meet objectives.
- Clearly communicate performance objectives with management teams.
InfoSTEP’s Approach to Performance Scorecards
- Suite of clinical, financial and operational solutions for health plan management.
- Strategic executive scorecards, personalized dashboards and dynamic analysis.
- Healthcare advisory services, data analysis, hospital benchmarking and best practices.
- Rapid configuration and ongoing healthcare support services.
- Transformation of disparate data silos into a web-based, collaborative intelligence platform.
- Software-as-a-Service delivery model requires no hardware, no software and no IT support.
Management Dashboard
Management Dashboard help healthcare organizations take a proactive approach to Pay for Performance programs, which are shaping the future of value-based healthcare purchasing. Payers gain deeper insight into quality issues and are able to work collaboratively with providers on continuous improvement. The InfoSTEP solution allows organizations to direct medical management resources with greater confidence, rapidly identify opportunities and problems and focus efforts where they count most. Performance dashboards track progress toward established goals and allow payers to securely share benchmark data so providers can see how they perform against others in a performance incentive program.
Management Dashboards are delivered on a web analytics platform and supported on a daily basis by experienced client service teams to ensure rapid and sustainable results.
How do health plans use Management Dashboards?
- Continuously monitor actual performance to stated goals
- Engage top performers and share best practices
- Make data transparent and actionable
- Lower medical costs by benchmarking provider performance and driving business to higher quality, lower cost providers
- Identify gaps in necessary medical care
