Government Health

The Challenge of Finding Government Healthcare Transformation Solutions

Current projections indicate that in the next decade healthcare may account for 20% of our gross national product. Government payers will need to find new and effective ways to deal with:

• Shifts in demographics and demands of consumers
• Resource shortages and budget constraints
• Changes in federal, state and local regulations
• Desire for improved outcomes and quality of healthcare services

These conditions are further complicated by the fact that government payers operate in an environment that is fragmented by political, economic and cultural concerns. How is it possible to transition to more effective business processes and technology uses that can deliver better healthcare value while immersed in this complex and changing environment?

360-Degree Health Care Continuum

The Answer

To move ahead, you must find ways to keep a number of moving parts working together while finding meaningful ways to gain flexibility, deliver results and balance public and private interests. This transition must be made in carefully planned steps. HP can help you get there.

Through a transformation process called The 360-Degree Health Care Continuum, HP provides a framework for states and other participants in the healthcare system to address the critical goals of lowering costs, improving care and increasing efficiency. This approach helps realize a substantial return on investment (ROI) by focusing on innovative solutions that lead to:

• Improved distribution of knowledge: turning data into information and information into knowledge for use by consumers, providers and payers
• Consumer empowerment: giving patients and their families and advocates the knowledge and ability to make choices
• Performance improvement: working in collaboration with patients and providers to promote safety, quality and value
• Streamlined business processes: deconstructing processes to reduce administrative costs and effort, and to promote efficiency and effectiveness
• Leveraged, modernized infrastructure and applications: using the investments we make to support multiple reuse by a variety of stakeholders and programs, and to reduce the costs and maximize the value of modernization

As the country's largest processor of healthcare claims, HP is uniquely suited to help you take advantage of the latest information technology (IT) advances and economies of scale. With 7,000 professionals dedicated to serving the healthcare sector, we can provide a comprehensive range of end-to-end services such as:

• Medicaid Fiscal Agent Services
• Healthcare Analytics and Decision Support Services
• Healthcare Fraud, Abuse and Detection Services
• Immunization Registry and Tracking Services
• Pharmacy Benefit Management Services
• Disease Management Services
• Healthcare Care Management Support Services
• Cost Containment Consulting Services
• Electronic Health Records

Medicaid & Medicare Claims Processing

The Results

Currently, HP handles 35% of all Medicare and Medicaid claims in the United States and processes 2.4 billion healthcare transactions annually. Our experience at the federal and state levels has made it possible for the agencies we serve to:

• Decrease claims processing time
• Lower administrative costs to benefit dollar expenditure
• Achieve certification to increase federal funding of systems
• Reduce medication errors
• Improve the quality of healthcare

Find out how your agency can benefit from working with the healthcare industry's largest provider of business process management services. Among the services provided by HP:

• Atlantes
• Government Healthcare BPO Services
• Healthcare Payer Administrative Services
• MetaVance
• State and Local Government Services

More Information

Solution Overviews:

• 360-Degree Healthcare Continuum
• Care Network Solution
• Eligibility Transformation Solution
• Medical Management Solution

At-A-Glances:

• Atlantes Care Management
• Decision Support Services
• DUR+
• E-Prescribing Solutions
• Healthcare Portal Solutions
• Immunization Information System Customization and Support Services
• Integrated Eligibility Solution
• Medical Informatics
• WebSMART

Fact Sheets:

• Drug Procedure Code Monitoring
• Eligibility Information Link
• interChange Medicaid Management Information System (MMIS)

Profile Sheet & Viewpoint Papers:

• Understanding Health Insurance Exchanges
• 360-Degree Healthcare Continuum
• External Quality Review: Best Practices for States
• How States Can Improve Healthcare Delivery Under ARRA
• ICD-10: Why Payers Must Embrace ICD-10 and How They Should Prepare For It
• Knowledge Discovery: Managing Beyond Simple Analytic Processes In Healthcare

For more information about what HP Enterprise Services can do for you, submit a business inquiry.