Government health agencies must serve those most in need – the poor, aged, young, disabled and indigent – while also addressing rising consumer expectations. The number of people that can be helped and the amount of care that can be provided is impacted by budget constraints, resource shortages, fraud, abuse and waste.
Legacy, transaction-based systems that provide little in the way of real-time clinical data compound this challenge by making it difficult to tie outcomes to investments. To increase the effectiveness of your public healthcare management and delivery – and minimize costs – you must streamline your business processes and leverage new technologies to improve data sharing.
Meet Your Business Needs Today – and Tomorrow
You can streamline business processes and leverage new technologies without a large capital investment by using HP Government Healthcare BPO Services. The standards-based, service-oriented architecture of its components improves program performance by facilitating the sharing of health-related information.
HP comprehensive business capabilities can help you:
- Focus on strategic planning and health outcomes
- Maximize human resources
- Improve efficiency, accuracy and timeliness
- Reduce administrative costs
- Increase provider and member satisfaction
- Actively participate in e-health initiatives
HP is the only major healthcare administrator that supports the full spectrum of the Medicaid Information Technology Architecture (MITA) business process model – from eligibility to program management.
Detect Medicaid Fraud and Abuse
Our comprehensive system for detecting fraud and abuse combines advanced analytical tools with the discerning knowledge of healthcare experts. It's an integrated approach that includes a robust data warehouse, predictive modelling technology, targeted detection queries and ad-hoc analysis capabilities.
HP can help you get more from your program resources:
- Prioritize and rank cases
- Enhance case development
- Improve staff productivity
- Improve program integrity
- Deter fraudulent activity
- Take proactive measures
- Gain quicker access to data
- Gain the benefits of experience
With Web-based desktop access to information and analysis, you can take action before losses from fraud, abuse and waste are out of control.
Make More Informed Decisions
You can improve the quality of healthcare service delivery by giving users timely access to the information and knowledge they need to make better decisions. HP can help you consolidate and integrate healthcare data from management, administration, usage reviews and business transactions.
An enterprisewide view of your healthcare program helps you:
- Reduce administrative costs
- Reduce response time
- Analyze trends
- Monitor results
- See true costs and benefits
- Improve evaluation quality
- Detect fraud and abuse
Being able to share and analyze cross-program data from users’ desktops drives access to the right information at the right time by the right people.
Gain the Power To Make More Informed Decisions
HP can help you improve operations and make better business decisions as you more effectively manage healthcare program dollars. Our Decision Support Services improves the quality of healthcare service delivery through the ability to respond to changing industry needs and to share and analyze cross-program data from users’ desktops.
HP Decision Support Services can help you:
- Gain the ability to add data courses, users and tools through a flexible, scalable architecture
- Reduce administrative costs by enabling end users to create ad hoc reports from their desktops
- Reduce your response time to legislative inquires regarding the state healthcare programs
- Gain the ability to monitor program statistics, identify trends and make recommendations
- Consolidate healthcare data sources into an enterprisewide data warehouse that provides the truest picture of benefits and associated costs for analysis
- Improve your evaluation of recipient healthcare quality through access to accurate and complete information
- Save program dollars by enabling users to investigate inappropriate usage, fraud and abuse
Track Immunizations Among Populations For a Lifetime
HP can help you assure immunization delivery according to schedule. We’ll develop your immunization registry into a user-friendly, scalable tool that increases physician adoption and improves overall immunization rates and public health outcomes.
We customize an easy-to-use desktop application that includes:
- Duplicate records check
- Simple entry
- Real-time sharing of historical immunization records
- Data links for birth-to-death tracking
- Parental access to immunization information
- School access for immunization records
- GIS mapping
- Inventory management of immunization records
- Bioterrorism module for tracking patients in outbreak situation
- Datamart and ad-hoc reporting
- Interoperability through HL7 messaging
HP is an active participant in the American Immunization Registry Association, the CDC-sponsored Modeling Immunization Registry Operations Workgroup and select efforts of the Health Level 7 (HL7) organization.
Choose HP
HP has worked with healthcare organizations and government healthcare programs for more than 40 years. Our senior operations team has experience in healthcare payer, provider and life sciences organizations. Because we understand the complexities of the healthcare system, we know how to streamline processes and use technology to improve the quality of care, innovate customer service and drive down administrative costs.
Download the Immunization Information System Customization and Support Services At-A-Glance
Download the Medicaid Fraud and Abuse Detection System At-A-Glance
Download the Pharmacy Benefits Management: e-Prescribing At-A-Glance
Download the HP interChange Medicaid Management Information System (MMIS) Fact Sheet
Download the External Quality Review: Best Practices For States Viewpoint PDF
For more information about what HP Enterprise Services can do for you, submit a business inquiry.