INTEROPERABILITY

In an ever-changing marketplace, the need for interoperability and performance based care is paramount. HealthAxis Group’s Solutions Platform is web-delivered, incorporating full functionality for all business requirements of various healthcare organizations.

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INTEGRATION

HealthAxis Group’s System is integrated with our Front-End systems capability and web portals, allowing for the complete integration of member management and claims processing from claims receipt to claims payment.

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BETTER TECHNOLOGY

HealthAxis Group’s Solutions Platform is web-delivered, incorporating full functionality for all business requirements of any Managed Care Organization, Health Plans, Medicare Advantage Plans, ACO, TPA, MSO, IPA and FQHC.

MEDICARE SOLUTIONS

Health plans serving Medicare members aim to provide a high level of quality care, while remaining compliant with government regulations. HealthAxis understands these challenges and helps Medicare and Medicare Advantage businesses remain competitive in an ever-changing marketplace. Our state-of-the-art system currently supports 5 Star Health Plans. We help organizations remain HIPAA and CMS compliant, while achieving the highest HEDIS/STAR ratings for quality care.
With HealthAxis’ Solutions Platform, Medicare customers achieve greater levels of operational efficiency and reduced operating costs. With our latest-generation technology, Medicare and Medicare Advantage Organizations can deliver enhanced efficiencies, customer service and compliant, high-quality care.
HealthAxis understands and offers a complete healthcare technology solution for all types of Medicare and Medicare Advantage Organizations, including, but not limited to:

OUR SOLUTIONS ENABLE MEDICARE & MEDICARE ADVANTAGE ORGANIZATIONS TO:

  • Enroll and reconcile members accurately and easily.
  • Automatically verify data upon CMS response (through Connect:Direct capability).
  • Receive the highest HEDIS/STAR ratings for high caliber care and clinical outcomes.
  • Achieve and maintain compliance with new government regulations.
  • Track and report on critical quality and compliance measures.
  • Deliver transparency of information for superior customer experience.
  • Lower administrative costs significantly by automating workflows.
  • Leverage key data sources with seamless integration.

MEDICAID SOLUTIONS

Managed Care Organizations (MCOs) serving Medicaid members must strive to provide high quality care, remain efficient, and keep administrative costs low, while at the same time ensuring compliance with continuously changing state regulations. HealthAxis understands these challenges, and helps Medicaid Managed Care Organizations achieve maximum efficiency while remaining compliant with each state’s specific regulations. With our Solutions platform, Medicaid customers have access to the latest generation technology and can deliver enhanced levels of transparency and customer service to their members.

OUR SOLUTIONS ENABLE MEDICAID ORGANIZATIONS TO:

  • Enroll and reconcile members accurately.
  • Reduce administrative costs by automating key business processes.
  • Identify and allocate care to high-risk populations and members.
  • Maintain regulatory compliance with each state’s rules.
  • Deliver superior customer service resulting in increased member engagement.
  • Coordinate individuals’ healthcare and support services effectively.
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PAYER SOLUTIONS

HealthAxis offers a wide array of products and services, including Payer Solutions, that, combined with our experience and technical knowledge, enables payers to drive down costs, improve operational efficiencies and deliver value to their customers. Our aim is to stage a relentless attack on inefficiency, errors, and escalating administrative/medical costs while helping our customers compete more effectively.

REQUEST A DEMO

Interested in what HealthAxis Group can do for you? Request a demo to see our Solutions in action!

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