Take the NMHCC test drive: conference goers can maximize their time on the NMHCC exhibit floor with well-targeted visits to suppliers of the latest technology. (NMHCC Exhibitor Preview).

The National Managed Health Care Congress, slated for March 10-12 at the Washington Convention Center in Washington, D.C., promises a dazzling array of new information technology systems geared to insurers and health plans, and the hospitals and physician practices that interact with them. Whether your specialty is disease management, claims processing, evidence-based medicine, pharmacy or behavioral health, you are sure to find resources on the exhibit floor to match your special interest.

But it's an expansive exhibit floor bells and whistles galore. To help you decide how best to spend your exhibit hours, here is a taste of some of the quality suppliers you can visit at NMHCC.

The TriZetto Group Booth 266

The TriZetto Group provides healthcare IT products and services for health plans and benefits administrators.

Enterprise software: includes Facets[R], the company's client-server system for managed healthcare payers; QicLink[TM], software for benefits administrators; and HIPAA Gateway[TM], an application that translates electronic data into a HIPAA-compliant format. Enterprise software can be licensed for installation at the customer site or hosted in a TriZetto data center.

e-Business applications: HealthWeb[R], an e-business platform, allows health plans to conduct business over the Internet with providers, members, employers and brokers.

TriZetto hosts and manages software for healthcare customers, who are freed from the costs of owning and maintaining their own systems. TriZetto also offers consulting services to help customers with technology asessment and strategy, system implementation and HIPAA compliance, along with business services such as the outsourcing of complete IT department operations to handling healthcare transactions such as claims, enrollment and billing. Stop by Booth 266 to try the software and discuss available services.

www.rsleads.com/302ht-212

Synertech Booth 342

For many companies, healthcare costs are their fastest growing expense, and employer are demanding new solutions to overcome recent double-digit increases. What could bring relief? One answer is the consumer-driven health plan, which puts the patient at the center of managing healthcare and costs and, at the same time, offers employers more predictable expenditures.

Synertech, an application services provider and business process outsourcer to healthcare payers and third-party administrators, has supported the launch of three national consumer-oriented plans in the past two years. Visitors to Synertech's NMHCC booth will find out how the company's technology and processing infrastructure can help health plans quickly establish these increasingly popular programs, allowing insurers to capitalize on new markets and offer solutions that solve business issues for their customers.

www.rsleads.com/302ht-213

QCSI Booth 550

QCSI is dedicated to helping its customers achieve efficiency in healthcare claims administration. QCSI delivers healthcare payer applications that give health plans the power to process claims electronically, without human intervention. Its flagship product, QMACS, enables health plans to reduce administrative costs by processing claims electronically and using the QMACS mass adjudication engine. Health plans can also use QCSI's Web-based product, aQHealth, to improve customer service by giving members, providers and employers access to health information over the Internet. The company HIPAA solution, aQTrans for HIPAA, also allows health: plans to comply with impending HIPAA government regulations. QCSI's e-business applications and solutions also include dental payer software as well as software and hardware hosting. Participants at NMHCC can view and sample them personally at the booth.

www.rsleads.com/302ht-214

MEDecision Inc. Booth 349

MEDecision, a provider of integrated medical management solutions for managed care organizations (MCOs), offers software that manages clinical and financial risk. Founded in 1988, MEDecision's software products are being used to service some 30 million MCO members.

MEDecision's integrated solutions focus on three areas. The first, analytics and disease management, provides MCOs with predictive capabilities, clinical rules and data analysis. The second, advanced medical management, enables MCOs to manage their population across the continuum of care and assess the clinical and financial outcomes of care management programs. Finally, transactioning and automated authorizations electronically link physicians, hospitals and MCOs to support direct processing of referrals and authorizations.

Used together, these three components place historical and current data in the hands of the care managers so they can efficiently handle information throughout the medical management process. Software in all three areas will be available to explore at the booth.

www.rsleads.com/302ht-215

McKesson Health Solutions LLC Booth 250

Stop by the McKesson booth for a demonstration of an array of products and services that can impact your organization's costs, improve quality, automate transactions and workflow, and enhance relationships with providers and members.

McKesson's CareEnhance services suite offers 24/7 nurse triage, disease management programs, interactive online tools and CareEnhance 360, a health assessment service that bridges the gaps in care management by linking programs and data for earlier identification a identification and higher enrollment rates. CareEnhance products include InterQual criteria sets to help to assess clinical appropriateness for individual patients across the continuum of care, software tools to boost the efficiency and effectiveness of your care management programs, and business intelligence tools to quickly and accurately mine company data for financial and healthcare information and identify key areas for improvement. To ensure proper provider reimbursement, McKesson presents ClaimCheck and CodeReview for code auditing and Clear Claim Connection for edit disclosure.

www.rsleads.conV302ht-216

Eldorado Computing Inc. Booth 643

Users of HEALTHpac 4 from Eldorado Computing can automate their entire claim life cycle, from EDI intake to claim processing and provider service, all in a HIPAA-ready environment. By streamlining the technology required to control health claims processing, repricing, billing, administration, case management, workflow with imaging, online enrollment, ad hoc reporting and customer service, HEALTHpac 4 was designed to give users greater plan flexibility and higher auto-adjudication rates, enabling them to process a higher volume of business more quickly and accurately and with less labor overhead. Eldorado is dedicated to providing the technology framework and the resulting e-commerce technology that the market needs, at an affordable cost, while maximizing return on investment. NMHCC participants can join in live demonstrations of HEALTHpac 4 throughout the conference.

www.rsleads.com/302ht-217

HealthTrio Inc. Booth 620

A recent study conducted by Cap Gemini Ernst & Young confirmed that managed care organizations continue to increase the depth and breadth of the Internet-based services they offer to constituents, including more self-service options. HealthTrio connect, which offers health plans a quickly installed Internet communications channel for providers, members, brokers and employers, supports this industry trend by providing a HIPAA-compliant, self-service access to personalized health information, patient education tools and personal health records--empowering consumers to be more proactive in improving and managing their own health and wellness.

HealthTrio also provides managed care organizations with a HIPAA-compliant core administrative system, HealthTrio xpress, that helps improve operational efficiency and strengthen communications with key constituencies. HealthTrio solutions can be implemented in 90 to 180 days. Stop by Booth 620 for product demonstrations.

www.rsleads.com/302ht-218

OAO HealthCare Solutions Inc. Booth 500

OAO HealthCare Solutions offers a multifaceted suite of products for HMOs, PPOs, TPAs, employer groups, self-funded/organizations, and Medicare and Medicaid plans, all aimed at workflow improvement, streamlining-of-business process--and improving organizations' bottom lines.

At the helm is the EZ-CAP e-health benefit administration system, with more than 16 integrated modules for automation in capitation payments, eligibility management, case management, electronic claims, authorizations and benefit administration. EZ-CAP integrates with McNet, which provides internet connectivity and access to portals for payers, members, providers and employers. Healthcare executives are served by OAO's Data Warehousing application with online access to ad hoc reporting and an open database environment that allows use of any SQL-compliant mining tool. The Care Management System includes five components for intake, UM, case management, DM and surveys/assessments. Integrated or stand-alone solutions are available and will be demonstrated at Booth 500.

www.rsleads.com/302ht-219

dakota imaging inc. Booth 133

MediWEB[TM] is one way dakota imaging supports health insurance organizations with both off-the-shelf and customizable technology solutions. MediWEB is a Web-based, online transaction management program that handles authorizations, pre-certifications and referrals, eligibility checking, online claims submission and correction, and automatic routing among payers, repricers and PPOs, as well as specialized data scrubbing, editing and cleanup When used with HealthClaim Expert[TM] software for medical and dental claims processing.

Transform[TM] is a document imaging solution that provides scanning, image enhancement, automated forms recognition, automated and intelligent indexing and optical storage, and search and retrieval. It offers enhanced proactive system alerts and performance monitoring that allows easy centralized support from IT personnal as well as support for multiple parallel data communication between local and remote servers.

Network Express[TM] (NetX) is a transaction processing solution and a communications platform that enables message exchange among disparate applications on various plaforms, it acts as a third-party intermediary to facilitate interactions among application systems, providing an end-to-end, scalable development environment for e-commerce gateways.

www.rsleads.com/302ht-220

Claimshop Inc. Booth 121

Claimshop provides claims processing for managed care, preferred provider and provider-based organizations, healthcare benefit administrators, self-administered corporations, insurance companies and others responsible for repricing healthcare benefits. By offering an Internet interface to most networks and a nearly 100 percent automation rate, Claimshop empowers users with a one-stop, comprehensive repricing service that improves efficiency by eliminating repricing paperwork and its administrative payroll, cutting paper claim courier and transmission costs, and reducing claim resubmissions. Specific services include:

Claimshop ePrice: an online service with no setup costs designed for low-volume payers to access Claimshop-enabled networks and login, enter claims and get immediate repricing results anytime, anywhere in real time;

Claimshop ePrice+: a single internet interface enabling administrators to access all of their Claimshop-enabled networks, or linking networks with theft: high-volume payers, and guaranteeing 24-hour turnaround for repricing, if not claims processing within seconds;

Claimshop eSearch: a customizable, Web-based application available to authorized users that automates manual help desk functions such as claim repricing histories, claim viewing and printing, and contract terms lookup.

www.rsleads.com/302ht-221

Medstat Booth 710

Part of The Thomson Corp., Medstat is a health information company that specializes in decision support systems, benchmark databases, market intelligence and research,

The MEDSTAT Advantage Suite[R] for Health Plans is a data warehouse that is linked to decision support systems used by insurers and health plans so they can strengthen their market position by measuring and improving financial and clinical performance. The suite integrates disparate databases into a single data platform to support enterprise decesion-making. Key applications in the suite are: risk management, including risk contracting; forecasting and underwriting, benefits modeling, UR administration, case management and outcomes measurement; NCQA HEDIS reporting; disease management support; and Web-based provider profiling with reports that highlight treatment patterns across providers or provider groups.

The overall MEDSTAT Advantage Suite expands beyond health plans with specific products for employers to maximize the value of their health plan selection, Medicaid agencies, federal health programs, HEDIS support services and disease staging software

www.rsleads.com/302ht-222

NaviMedix Inc. Booths 560, 562

With a focus on enabling productive connectivity among physicians, hospitals and health plans, NaviMedix designs solutions aimed at automated communications that not only eliminate paper and phone calls, but also speed electronic transactions and improve internal workflows. The NaviMedix Solution Suite consists of three components:

NaviNet is an online solution that links hospitals and physician offices with health plans and offers a single point of access for more than 50 electronic processes, delivering to healthcare providers immediate access to information about eligibility, claims status and authorizations;

NaviNet Claims offers providers automated and integrated claims submission using their existing practice management system claims data, and a Java-based product to electronically create and submit claims to payers;

NaviNet Rx enables issuance and renewal of prescriptions, electronic transmission of retail and mail-order prescriptions, and access to patient prescription histories. Drugs issued via the application are validated against prescription histories to ensure that adverse interactions are avoided.

www.rsleads.com/302ht-223