Consumerism Causing Evolution in Managed Care Products; Amisys Synertech Delivering Solutions That Will Help Health Plans Deal with Changes in Marketplace.Business Editors/Health/Medical Writers/High-Tech Writers ROCKVILLE, Md.--(BUSINESS WIRE)--May 5, 2004 An evolution in the managed care industry over the next decade will significantly integrate elements of consumerism consumerism Movement or policies aimed at regulating the products, services, methods, and standards of manufacturers, sellers, and advertisers in the interests of the buyer. into traditional health insurance products, according to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. the president and CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. of Amisys Synertech Inc., forcing managed care companies to constantly improve information management and customer support infrastructure to survive. A market leader of advanced software products and world-class outsourcing and claims processing services for healthcare payers, Amisys Synertech is participating in the 2004 National Managed Health Care Congress, May 5-6, in Washington, D.C. At the start of the conference, company President and CEO Kevin R. Brown said managed care companies face great pressure to help control healthcare spending. According to industry and government reports, total healthcare spending in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. could double over the next decade to over $3 trillion. Brown anticipates that the managed care industry will attempt to control spending increases through four main initiatives, which will require significant investments in comprehensive customer management infrastructure and continuous improvements of its information systems infrastructure. These initiatives include: -- Care and wellness management, including predictive risk modeling, medical management and disease management -- Strategic initiatives, such as consumer-directed products and Medicare Advantage initiatives -- Decision support, including predictive risk modeling, disease cohort analysis and effectiveness analysis -- Administrative improvements, such as outsourcing and differential underwriting. "The evolution brought about by consumerism will bring a number of significant developments to the managed care industry," said Brown, who has more than 25 years of industry experience. "Complex point-of-service transactions, including debit card debit card, card that allows the cost of goods or services that are purchased to be deducted directly from the purchaser's checking account. They can also be used at automated teller machines for withdrawing cash from the user's checking account. usage, management of an array of different funds, interfaces to financial management vehicles - all of these must be integrated to a health plan's product lines. They require increasing self-help support to members while reducing administrative expenses - a combination that will be difficult to achieve." Brown estimates that comprehensive disease and medical management will continue to be vitally important to managed care companies and that eventually each type of product - HMO HMO health maintenance organization. HMO n. A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial, , PPO PPO abbr. preferred provider organization PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there , POS (1) See point of sale and packet over SONET. (2) "Parent over shoulder." See digispeak. POS - point of sale and indemnity - will include a consumer-directed hybrid version. He added that to quickly and efficiently develop these hybrid products, managed care companies will increasingly enlist the support of companies such as Amisys Synertech, which have consumer-directed experience and the infrastructure in place to bring a product to market quickly. "Using strategic resources to implement these hybrid products will enable companies to control costs across all product lines," said Brown. About Amisys Synertech Inc. Amisys Synertech Inc. (www.asihealth.com) advances health plan business through its industry-leading products and services. The company delivers comprehensive, mission-critical information management software products and Web capabilities that meet the needs of nearly every healthcare payer model. Amisys Synertech also provides leading business process outsourcing Business process outsourcing (BPO) is the contracting of a specific business task, such as payroll, to a third-party service provider. Usually, BPO is implemented as a cost-saving measure for tasks that a company requires but does not depend upon to maintain its position in and application hosting for health plans, supporting a multimillion-member base through its claims processing and consumer-directed services. Amisys Synertech has offices in Rockville, Md., Harrisburg, Pa., Dubuque, Iowa Dubuque is a city in the U.S. State of Iowa, located along the Mississippi River. Its population was estimated at 57,696 in 2006,[3] making it the eighth-largest city in the state. and Alpharetta, Ga. |
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