AHIP Select Members

AHIP Select

AHIP Select Members: 

Accenture 

Accenture: Insight Driven Health
www.accenture.com/insightdrivenhealth 

Insight driven health is the foundation of more effective, efficient and affordable healthcare. That’s why the world’s health care providers and health plans choose Accenture for a wide range of insight driven health services that help them use knowledge in new ways— from the back office to the doctor’s office. Our committed professionals combine real-world experience, business and clinical insights and innovative technologies to deliver the power of insight driven health. 

About Accenture
www.accenture.com 

Accenture is a global management consulting, technology services and outsourcing company, with more than 246,000 people serving clients in more than 120 countries.  Combining unparalleled experience, comprehensive capabilities across all industries and business functions, and extensive research on the world’s most successful companies, Accenture collaborates with clients to help them become high-performance businesses and governments.  The company generated net revenues of US$25.5 billion for the fiscal year ended Aug. 31, 2011.


 
GlaxoSmithKline 

GlaxoSmithKline
www.gsk.com 

GlaxoSmithKline (GSK) is a research-based pharmaceutical and healthcare company. GSK is committed to improving the quality of human life by enabling people to do more, feel better and live longer.

GSK has a long tradition of offering care management and health education materials that focus on improving adherence, motivating healthy behaviors, and optimizing health coaching skills. GSK Care Management Solutions (CMS) offers health education materials that focus on the whole patient and that inspire health and wellness.


 
Healthways 

Healthways
www.healthways.com 

Healthways is a global provider of science-based solutions aimed at improving well-being, enhancing business and human performance and reducing overall health care costs. Our solutions are designed to help healthy individuals stay healthy, mitigate and slow the progression to disease associated with family or lifestyle risk factors and promote the best possible health for those already affected by disease. We provide highly specific and personalized interventions to millions of people domestically and internationally, surrounding them with tailored support when they are at home, at work, seeking medical care or pursuing health improvement.


 
Inovalon 

Inovalon
www.inovalon.com 

Inovalon™ , the new name of MedAssurant, is a healthcare technology company that combines advanced data analytics with highly targeted interventions to achieve meaningful impact in clinical outcomes and financial performance across the healthcare landscape.

Our unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action®. Proprietary datasets, sophisticated analytics, deep subject matter expertise, and nationwide in-community personnel deliver a seamless, end-to-end platform of technology and operations. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity and financial performance- while also bringing to bear the resources to resolve them. This differentiating combination provides a powerful capability suite touching more than 120 million Americans, driving high-value impact, and improving the quality and economics for health plans, hospitals, physicians, patients, and researchers.


 
LexisNexis 

LexisNexis
www.lexisnexis.com 

LexisNexis solutions for health care leverage decades of experience in using the power of big data to drive cost savings across the healthcare continuum. LexisNexis ability to disambiguate, link, enhance and analyze data delivers information-rich analytic tools that help health plans understand risk in their business, supplying actionable intelligence to improve fraud, waste and abuse detection as well member engagement in key cost saving programs.


 
Matrix Medical Network 

Matrix Medical Network
www.matrixhealth.net 

Matrix Medical Network works on the behalf of health plans and medical groups throughout the country providing comprehensive medical assessments of their members. From these assessments comes information that enables plans and providers to fully address and better manage an individual’s medical needs. Assessments are conducted by Matrix-employed nurse practitioners and physicians who visit members in their homes or in nursing/skilled nursing facilities. Visits often uncover additional needs and have resulted in saved lives. The company hires, trains and retains skilled and experienced clinicians and supporting them with a powerful and highly secure technology infrastructure.


 
MedeAnalytics 

MedeAnalytics
www.medeanalytics.com 

MedeAnalytics delivers performance management solutions across the healthcare system—including hospitals, physician practices, and payers—to ensure accountability and improve financial, operational, and clinical outcomes.


 
OpenConnect 

OpenConnect
www.oc.com 

OpenConnect offers process intelligence, workforce analytics, and process automation solutions designed to create high value improvements for Healthcare Insurance payers. We help organizations understand what the real work and productivity of their resources are, how to eliminate work, improve processes, and automate much of the work that remains so the firm’s resources can focus on improving customer service and higher value add activities.


 
Optum 

Optum
www.optum.com 

Optum is an information and technology-enabled health services business dedicated to making the health system work better for everyone. Optum comprises three companies – OptumHealth, OptumInsight and OptumRx – representing over 30,000 employees worldwide who collaborate to deliver integrated, intelligent solutions that work to modernize the health system, and improve overall population health.  


 
PaySpan 

PaySpan
www.PaySpan.com 

PaySpan is a provider of healthcare payment and reimbursement automation. They focus on health plans, providers, members and banks throughout the healthcare economy. PaySpan’s solutions enable stakeholders to interact across communities, conduct commerce, capture value, instill trust and use reimbursement currency. 

PaySpan serves more than 100 health plans covering more than 50 million members and connect them with over 315,000+ provider payees in all 50 states, U.S. territories and several international markets. 

PaySpan brings innovation and efficiency to healthcare reimbursement, and continues to expand their solution with technology and services that allow payers and providers to succeed in the new healthcare economy.


 
Softheon 

Softheon
www.softheon.com 

Softheon enables health plans to measurably reduce administrative costs, improve member and provider satisfaction, generate new revenue opportunities, and address regulatory compliance challenges in new business, underwriting and enrollment, pharmacy and medical prior authorization, claims, grievance and appeals, member and provider services, and other critical administrative processes.


 
Walgreens 

Walgreens
www.walgreens.com 

Walgreens vision is to become America’s first choice for health and daily living, leveraging 75,000 healthcare experts who provide trusted, cost-effective pharmacy services spanning retail, specialty, infusion & respiratory, medical facility, mail service and convenient care clinics. We provide evidence-based care that serves as an extension of your provider network.


 

More Information?
For overall information about the Select program, contact AHIP’s Business Development Team at [email protected] or 866.707.AHIP (2447).