Payers
Amitech Solutions professional team has extensive consulting and industry experience with payers, leveraging our well defined and disciplined approach to problem solving to create customized, innovative solutions. Our international, multidisciplinary perspective enables us to create robust strategies and action plans rapidly for our clients. In addition, we support efficient, effective implementation of these strategies. We measure our performance by our success in helping clients advance their market positions while improving care delivery.
Payer organizations are challenged with pressures of containing costs, enhancing services, litigation, regulations and benefit mandates, medical fraud, and variations in practices. In this competitive business environment having an integrated data management strategy coupled with our deep domain expertise can help you succeed in aligning actions with business strategy, containing premiums, improving quality of care, meeting customer expectations, reducing expenses, changing regulations, and increasing your bottom line with greater operational efficiency.
Payers are under increased pressure to improve the way they do business. But inefficient business processes, lengthy claims processing and outdated information management strategies are proving to be formidable roadblocks to making healthcare more affordable, retaining existing members, acquiring new members, as well as enhancing services and increasing quality of patient care.
In such an environment, success depends on capturing, integrating, analyzing, and acting on information at the right time. We have a proven track record in delivering measurable results for our clients in Payer organizations by solving your complex information challenges in an increasingly customer-centric environment.
Through working with Payer and Third Party Administrator organizations we’ve proven that we have a solid understanding of your issues and can turn around innovative BI and IM solutions quickly to improve your business performance. What's needed most is a partner that understands your complex challenges and will help you develop an intelligence platform that crosses the enterprise by leveraging your data assets. Our clients benefit from our key capabilities in data integration, which is the most challenging issue in providing better healthcare and increasing business performance.
We can help you develop and deploy a reliable, accurate, scalable, and integrated analytics platform leveraging ‘silos of intelligences’ from data related to Employer groups, Membership, Product, Facility, Provider networks, outcomes and claims, Actuarial, Underwriting, Human resources, and Marketing and Sales. An integrated platform enables your organization to manage complex business issues such as cost containment, enhancing services, litigation, regulatory compliance, benefit mandates, medical fraud, and sales and marketing performance.
We offer business intelligence, analytics, predictive analytics, performance management, and information management solutions to improve operational efficiency and business performance in the following areas:
- Actuarial
- Call centers & Customer Satisfaction
- Channel Management Analysis for Agents & Brokers
- Claims Processing & Adjudication
- Customer intelligence - 360 Degree Member view
- Disease Management & Predictive Modeling
- Early Fraud Detection & Prevention
- Medical Management & Healthcare Informatics
- Operational Intelligence
- Pharmacy Benefit Management Services
- Provider Analysis & Management
- Underwriting Profitability & Inventory Management
- Utilization Review & Quality Management