For Payers:
The current regulatory environment has created many new challenges for healthcare payers. As a result, payers are looking for more effective and efficient ways to serve customers and reduce costs without sacrificing quality. Part of this involves processing large volumes of data, reducing fraud, and driving customer satisfaction and retention. With our professional Healthcare IT expertise, we are often tasked with projects that involve: strategic infrastructure/implementations, Big Data/business intelligence, application development and more recently marketing or digital transformation projects. Furthermore, we have a proven track record for helping clients realize value by enhancing IT strategy, integrating operations and streamlining business processes.

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Making information exchange easier and more efficient reduces costs while increasing patient outcomes. By understanding both the technology side and the clinical side of the healthcare landscape, The Informatics Group is uniquely positioned to help payers streamline their information exchange systems, stand out in a crowded marketplace, and better serve patients—all while adhering to today’s stringent guidelines.

Combining today’s most sophisticated technology with big-picture understanding of the market, The Informatics Group understands what it takes to make your information exchange more efficient and effective. Our team brings a wealth of experience to healthcare payers:

  • Clinical training
  • Coding
  • Claims processing configuration and analysis
  • Benefits analysis
  • Utilization Review / Management
  • Case Management
  • Mobile apps
  • Facets / Trizetto / NASCO / Amisys
  • SAS, SPSS
  • Quality Assurance / Testing
  • 5010 and ICD-10
  • CDI
  • Reporting and Analytics
  • Risk Management
  • Clinical Design / Performance Improvement
  • Clinical Analysis
  • Data and Operations Analysis
  • Information Security
  • Database Analysis and Administration
  • Medicare and Medicaid

Want more information? Contact us to talk to one of our specialists, or learn more about our unique process