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Service
Process and System Modernization Consulting
A comprehensive, set of consulting services to help TPAs, payers, and providers through their healthcare digital transformation journey. We work collaboratively with our clients to modernize their enterprise architecture and realign business process to help improve performance, reduce cost, and drive greater stakeholder experiences.
What’s included in Process and System Modernization Consulting
Develop a modern enterprise architectureenabling your healthcare digital transformation
Leverage our expertise to optimize processes and systems
Access consultants who have managed more than 100 system implementations, and who possess a deep understanding of health plan operations, regulations, and technology. We’ll help assess your current processes and system capabilities to see if you’re maximizing the value of your IT investments to achieve healthcare digital transformation.
Analysis to help build scalable infrastructure
Develop a modern enterprise infrastructure that can flex to meet your needs, accommodate future change, and help you innovate, solve problems, and take advantage of emerging opportunities in healthcare digital transformation.
Expertise to help develop your digital health strategy
Create an enterprise architecture that accelerates response to market dynamics, reduces costs, and delivers competitive differentiation. An agile and resilient architecture is essential to meet the needs of our fast-changing industry.
Core Systems
| System Vendor Name | System Name |
|---|---|
| Cognizant® | TriZetto Facets® or QNXT™ |
| Ebix | LuminX |
| Eldorado | Javelina, HEALTHpac |
| Epic | Tapestry |
| Evolent Health | Aldera |
| Health Solutions Plus | MediTrac, PerfectClaim™ |
| HealthAxis | HealthAxis |
| HealthEdge™ | HealthRules Payor™ |
| HGS (Hinduja Global Solutions) | HGS |
| HP Enterprise Services | MetaVance |
| NASCO | NASCO |
| Oracle | Oracle Health Insurance |
| Pegasystems Inc. | Pega Smart Claims Engine |
| PH Tech | PH Tech |
| Plexis | Quantum Choice™ |
| RAM Technologies, Inc. | HEALTHsuite® |
| SKYGEN | Enterprise System |
| SS&C Technologies, Inc. (formerly DST Systems, Inc.) | AMISYS Advance™, Powerstep, PowerMC, PowerMHC/Comtec |
| Virtual Benefits Administrator (VBA) | VBASoftware, VBAGateway |
| Visiant (formerly ikaSystems) | ikaEnterprise |
| Xerox / Conduent® Inc. | ACS; Aldera |
Care Systems
| System Vendor Name | System Name |
|---|---|
| Altruista Health® | GuidingCare® |
| AssureCare® | MedCompass |
| Casenet® | TruCare® |
| Cognizant® | Trizetto® CareAdvance Enterprise® |
| Epic Systems | Healthy Planet |
| EXL Service | CareRadius® |
| HealthEdge™ | HealthRules® CareManager |
| HMS® | Essette |
| Medecision | Aerial™ |
| MHK | MHK CareProminence™ |
| Pega | Pega Care Management |
| VirtualHealth | HELIOS® Care Management |
| ZeOmega | Jiva™ |
Revenue Cycle/Electronic Health Record Systems
| System Vendor Name | System Name |
|---|---|
| Allscripts | Practice Financial Platform |
| Athenahealth | athenaIDX |
| Cerner | RevWorks SM |
| eClinicalWorks | RCM Console |
| Epic | Resolute |
| Greenway | GRS SelectTM |
| MEDITECH | Expanse Revenue Cycle |
EMR/EHR Products
| System Vendor Name | System Name |
|---|---|
| Allscripts | Allscripts Professional |
| Athenahealth | athenaNet |
| Cerner | Millenium |
| eClinicalWorks | eClinicalWorks EMR |
| Epic | Epic Care |
| Evident (CPSI Parent Co.) | Thrive EHR |
| Greenway | INtergy |
| Kareo | Kareo Clincial |
| MEDITECH | Expanse |
| Nextgen | Office EHR/PM |
Resources and Brochures
-
Brochure
Update Your IT Infrastructure to Support Your Business
Continuous, rapid change is a hallmark of both the healthcare and IT industries. For payers, medical practices and hospitals, this translates into evolving regulatory, operational, and competitive demands on your IT systems. To meet these challenges, you need an IT infrastructure that can grow and flex, with components that can work together to drive business results.
Our outcomes
PRODUCT SUPPORT
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