Managed Care

Managed Care Organizations

The healthcare community is constantly evolving and restructuring itself to meet state regulations and health plan-specific challenges. That’s why HealthAxis Group believes adaptability is key in navigating the complexities of the managed care environment. Our goal is to keep payer and providers ahead of the change. We strive to ensure that Medicare, Medicaid/Medi-Cal and “Dual Eligible” members are provided with care that is both quality and government-compliant, thus helping businesses remain competitive and dynamic. Our “latest generation” single/comprehensive/interoperable digital platform was specifically designed to help Medicare organizations increase operational efficiency, decrease operating costs and deliver unprecedented service.

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.

Remove your inefficiencies and optimize your performance through these leading-edge solutions